Your 2022 Prescription Drug List

Pharmacy | PDL

Your 2022 Prescription Drug List

Essential 4-TierEffective January 1, 2022

This Prescription Drug List (PDL) is accurate as of January 1, 2022 and is subject to change after this date. This PDL applies to members of our UnitedHealthcare, All Savers, Golden Rule, Neighborhood Health Plan and River Valley medical plans with a pharmacy benefit subject to the Essential 4-Tier PDL. Your estimated coverage and copayment/coinsurance may vary based on the benefit plan you choose and the effective date of the plan.

Table of contentsUnderstanding your Prescription Drug List (PDL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Medication tips . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Reading your PDL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Analgesics

Drugs for Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Drugs for Pain and Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Anti-Addiction / Substance Abuse Treatment Agents . . . . . . . . . . . . . . . . . . . . . . . . 10Antibacterials

Drugs for Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Anticoagulants

Drugs to Treat or Prevent Blood Clots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Anticonvulsants

Drugs for Seizures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Antidementia Agents

Drugs for Alzheimer’s Disease and Dementia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Antidepressants

Drugs for Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Antiemetics

Drugs for Nausea and Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antifungals

Drugs for Fungal Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antigout Agents

Drugs for Gout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antimigraine Agents

Drugs for Migraines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13Antineoplastics

Drugs for Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antiparasitics

Drugs for Parasitic Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antiparkinson Agents

Drugs for Parkinson’s Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Antiplatelets

Drugs for Heart Attack and Stroke Prevention . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Antipsychotics

Drugs for Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Antivirals

Drugs for Viral Infections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Anxiolytics

Drugs for Anxiety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Bipolar Agents

Drugs for Mood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Cardiovascular Agents

Drugs for Heart and Circulation Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Central Nervous System Agents

Drugs for Attention Deficit Disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Drugs for Multiple Sclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Dental and Oral Agents Drugs for Mouth and Throat Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

2

Dermatological Agents Drugs for Skin Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Diabetes Glucose Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Insulin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Non-Insulin Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Drugs for Blood Disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Drugs for Sexual Dysfunction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Electrolytes / Vitamins . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25Gastrointestinal Agents

Drugs for Acid Reflux and Ulcer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Drugs for Bowel, Intestine and Stomach Conditions . . . . . . . . . . . . . . . . . . . . . . . 26

Genetic or Enzyme Disorder Drugs for Replacement, Modification, Treatment . . . . . . . . . . . . . . . . . . . . . . . . . 27

Genitourinary Agents Drugs for Bladder, Genital and Kidney Conditions. . . . . . . . . . . . . . . . . . . . . . . . . 27 Drugs for Prostate Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Hormonal Agents Hormone Replacement and Birth Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Oral Steroids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Testosterone Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Thyroid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Immunological Agents Drugs for Immune System Stimulation or Suppression . . . . . . . . . . . . . . . . . . . . . 32

Infertility Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Inflammatory Bowel Disease Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Metabolic Bone Disease Agents

Drugs for Osteoporosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Ophthalmic Agents

Drugs for Eye Allergy, Infection and Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . 34 Drugs for Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Drugs for Miscellaneous Eye Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Otic Agents Drugs for Ear Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Respiratory Drugs for Anaphylaxis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Respiratory Tract / Pulmonary Agents Drugs for Allergies, Cough, Cold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Drugs for Asthma and COPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Drugs for Cystic Fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Drugs for Pulmonary Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Skeletal Muscle Relaxants Drugs for Muscle Pain and Spasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Sleep Disorder Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

3

Understanding your Prescription Drug List (PDL)

What is a PDL?This document is a list of the most commonly prescribed medications. It includes About this PDLboth brand-name and generic prescription medications approved by the Food and Where differences exist between Drug Administration (FDA). Medications are listed by common categories or classes this PDL and your benefit plan and placed in tiers that represent the cost you pay out-of-pocket. They are then documents, the benefit plan listed in alphabetical order. documents rule. This PDL is not

a complete list of medications, How do I use my PDL? and not all medications listed

may be covered by your plan. You and your doctor can consult the PDL to help you select the most cost-effective Please look at the benefit plan prescription medications. This guide tells you if a medication is generic or brand documents provided by your name, and if there are coverage requirements or limits. Bring this list with you when employer or health plan to see you see your doctor. If your medication is not listed here, please visit your plan’s which medications are covered member website or call the toll-free member phone number on your health plan under your plan.ID card.

What are tiers?Tiers are the different cost levels you pay for a medication. Each tier is assigned a cost, set by your employer or benefit plan. This is how much you will pay when you fill a prescription. See page 6 for more information.

When does the PDL change?PDL changes typically occur 2-3 times per year. However, changes that have a positive impact for you — such as coverage for new medications or cost savings — may occur at any time. You can log in to the member website listed on your health plan ID card at any time to check your medication coverage and lower-cost options.

Why are some medications excluded from coverage?We review medications based on their total value, including effectiveness and safety, how much they cost, and the availability of alternative medications to treat the same or similar medical conditions. Certain medications may be excluded from coverage or be subject to prior authorization (sometimes referred to as precertification) if similar alternatives are available at a lower cost. Examples include medications that work the same way, but one is much more expensive than the other, or options that are available without a prescription (also referred to as over-the-counter medications). There are also some instances where the same product can be made by 2 or more manufacturers, but greatly vary in cost. In these instances, only the lower-cost product may be covered.

You should review your benefit plan documents to confirm if any medications are excluded from your plan. You can log in to the member website listed on your health plan ID card at any time to check your medication coverage. Talk to your doctor to see if there are lower-cost options or over-the-counter medications available.

Who decides which medications are covered?Thousands of medications are already available and more come to the market regularly. Often, several medications are available to treat the same condition. The UnitedHealthcare® Pharmacy and Therapeutics Committee, which includes both internal and external doctors and pharmacists, meets regularly to provide clinical reviews of all medications. Using this information, the PDL Management Committee, which includes senior UnitedHealth Group® doctors and business leaders, meets to evaluate overall health care value. They also set coverage and tier status for all medications.

4

Medication tips

What is the difference between brand-name and generic Over-the-counter medications?(OTC) medicationsGeneric medications contain the same active ingredients (what makes the An OTC medication may be the medication work) as brand-name medications, but they often cost less. Once the right treatment option for some patent for a brand-name medication ends, the FDA can approve a generic version conditions. Talk to your doctor with the same active ingredients. These types of medications are known as generic about available OTC options. medications. Sometimes, the same company that makes a brand-name medication Even though these medications also makes the generic version.may not be covered by your pharmacy benefit, they may What if my doctor writes a brand-name prescription?cost less than a prescription

If your doctor gives you a prescription for a brand-name medication, ask if a generic medication.equivalent or lower-cost option is available and could be right for you. Generic medications are usually your lowest-cost option, but not always. For some benefit plans, if a brand-name drug is prescribed and a generic equal is available, your cost-share may be the copayment PLUS the cost difference between the brand-name drug and the generic equivalent.

What if I am taking a specialty medication?Specialty medications are high-cost and are used to treat rare or complex conditions that require additional care and support. For most plans, these medications are managed through the specialty pharmacy program. Take advantage of personalized support designed to help you get the most out of your treatment plan. Visit the member website listed on your health plan ID card or call the toll-free phone number on your ID card to learn more.

Please note, not all specialty medications are listed here. If you’re taking a specialty medication that is on a higher tier, call the toll-free phone number on your health plan ID card to talk with a pharmacist about finding lower-cost options.

5

Reading your PDLThe PDL gives you choices so you and your doctor can decide your best course of treatment. In this PDL, brand-name medications are shown in UPPERCASE and generic medications in lowercase.

Tier informationUsing lower tier medications can help you pay your lowest out-of-pocket cost. Your plan may have multiple or no tiers. Please note: If you have a high deductible plan, the tier cost levels may apply once you hit your deductible.

In the chart below, overall value indicates medications’ effectiveness and safety, cost and the availability of alternative medications to treat the same or similar medical condition(s).

Drug Tier Includes Helpful Tips

Tier 1 $ Lower-cost Use Tier 1 drugs for the Medications that provide the highest overall value. Mostly lowest out-of-pocket costs.generic drugs. Some brand-name drugs may also be included.

Tiers Use Tier 2 or Tier 3 drugs, $$ Mid-range cost 2 and 3 instead of Tier 4, to help reduce Medications that provide good overall value. A mix of brand-name

your out-of-pocket costs.and generic drugs.

Tier 4 Many Tier 4 drugs have lower-cost $$$ Highest-cost options in Tiers 1, 2 or 3. Ask your Medications that provide the lowest overall value. Mostly brand-doctor if they could work for you.name drugs, as well as some generics.

Drug list informationIn this drug list, some medications are noted with letters next to them to help you see which ones may have coverage requirements or limits. Your benefit plan sets how these medications may be covered for you.

H Health Care Reform Preventive — This medication is part of a health care reform preventive benefit and may be available at no additional cost to you.

H-PA Health Care Reform Preventive with Prior Authorization — May be part of health care reform preventive and available at no additional cost to you if prior authorization criteria is met.

NF Non-Formulary Non-formulary drugs are not covered by your insurance provider, however may be filled at a Tier 4 cost share if certain criteria is met.

PA Prior Authorization — Requires your doctor to provide information about why you are taking a medication to determine how it may be covered by your plan.

QL Quantity Limits — Specifies the largest quantity of medication covered per copayment or in a defined period of time.

SP Specialty Medication — Specialty medications treat complex or rare conditions and may require special storage and handling. You may be required to obtain these medications from a specialty pharmacy.

ST Step Therapy (referred to as First Start in New Jersey) — Requires prior authorization and may require you to try one or more other medications before the medication you are requesting may be covered.

6

Reading your PDL (continued)

Coverage detailsSome drug classes in this PDL have additional/important coverage details. Review this list to see if drug classes that apply to you are noted.

• Diabetes: continuous glucose monitors, sensors Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share. Diabetic self-management items, including continuous glucose monitors, may be covered under the consumer pharmacy and/or medical plan depending on the benefit.

• Endocrine: growth hormone Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share.

• InfertilityCoverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share. This is not a covered benefit for Neighborhood Health Plan.

• Medications for sexual dysfunction Coverage is set by the consumer’s prescription drug benefit plan. Please consult plan documents regarding benefit coverage and cost-share.

Questions

For the most current list of covered medications or if you have questions:

Call the member phone number on your health plan ID card

And, if home delivery services are included in your pharmacy

Visit your plan’s member website listed on your health plan ID card to: benefit, you can also:

• View your pharmacy benefit and coverage information, including • Refill prescriptionsprescription history • Check the status of your order

• View medication interactions and side effects • Set up reminders for refills• Locate a participating retail pharmacy by ZIP code • Manage your account• Look up possible lower-cost medication alternatives

• Compare medication pricing and options

7

Drug Name Drug Requirements Drug Name Drug RequirementsTier & Limits Tier & Limits

g hydrocodone-acetaminophen oral 1Analgesics - Drugs for Paintablet 10-325 mg, 5-325 mg, g acetaminophen-codeine 17.5-325 mg

g acetaminophen-codeine #2 1g hydromorphone hcl er NF PA, ST, QL

g acetaminophen-codeine #3 1g hydromorphone hcl oral 1

g acetaminophen-codeine #4 1g hydromorphone hcl rectal 1

g apap-caff-dihydrocodeine oral NF QLB HYSINGLA ER NF PA, ST, QLcapsuleg lidocaine external ointment 5 % 2 QLg apap-caff-dihydrocodeine oral 1 QLgtablet lidocaine external patch 5 % 3 PA, QL

g g lidocaine-prilocaine external cream 1bac 1 QLBB BELBUCA NF PA, QL LIDODERM NF PA, QL

g Bbutalbital-apap-caffeine oral 3 QL LORTAB 4capsule 50-300-40 mg g morphine sulfate (concentrate) oral 1

g solution 100 mg/5ml, 20 mg/mlbutalbital-apap-caffeine oral 1 QLcapsule 50-325-40 mg g morphine sulfate er oral capsule NF PA, ST, QL

g butalbital-apap-caffeine oral tablet 1 QL extended release 24 hourB gCONZIP NF QL morphine sulfate er oral tablet 1 PA, QL

extended releaseB DILAUDID ORAL 4g morphine sulfate oral 1B DURAGESIC-100 NF PA, ST, QLg morphine sulfate rectal 1B DURAGESIC-12 NF PA, ST, QLB MS CONTIN 3 PA, ST, QLB DURAGESIC-25 NF PA, ST, QLB NALOCET NF QLB DURAGESIC-50 NF PA, ST, QLB NUCYNTA 4 QLB DURAGESIC-75 NF PA, ST, QLB NUCYNTA ER 3 PA, QLg endocet 1B OXAYDO NF QLB ESGIC 4 QLB OXYCODONE HCL ER NF PA, ST, QLg fentanyl transdermal patch 72 hour 2 PA, QLg100 mcg/hr, 12 mcg/hr, 25 mcg/hr, oxycodone hcl oral capsule 1

50 mcg/hr, 75 mcg/hr g oxycodone hcl oral concentrate 1g fentanyl transdermal patch 72 hour NF PA, ST, QL 100 mg/5ml

37.5 mcg/hr, 62.5 mcg/hr, g oxycodone hcl oral solution 187.5 mcg/hr

g oxycodone hcl oral tablet 10 mg, 1B FIORICET 4 QL 15 mg, 20 mg, 30 mgg hydrocodone bitartrate er oral 3 PA, ST, QL g oxycodone hcl oral tablet 5 mg 1 QL

capsule extended release 12 hourB OXYCODONE-ACETAMINOPHEN NF

g hydrocodone bitartrate er oral NF PA, ST, QL ORAL SOLUTIONtablet er 24 hour abuse-deterrent

B OXYCODONE-ACETAMINOPHEN NFg hydrocodone-acetaminophen oral 1 ORAL TABLET 10-300 MG,

solution 10-325 mg/15ml 5-300 MGg hydrocodone-acetaminophen oral 2 g oxycodone-acetaminophen oral 1

solution 7.5-325 mg/15ml tablet 10-325 mg, 2.5-325 mg, g hydrocodone-acetaminophen oral NF 5-325 mg, 7.5-325 mg

tablet 10-300 mg, 5-300 mg, B OXYCODONE-ACETAMINOPHEN NF QL7.5-300 mg ORAL TABLET 2.5-300 MG

See page 6, 7 for coverage details. Drugs listed as ST are subject to Prior Authorization in CT, NJ and NY (referred to as First Start in New Jersey).

88


B gOXYCONTIN NF PA, ST, QL etodolac 1B gPERCOCET NF etodolac er 1g Bpremium lidocaine 2 QL EUFLEXXA NFB BPROLATE NF GELSYN-3 NFB gQDOLO NF PA, QL ibuprofen 1B gROXICODONE ORAL TABLET NF ibuprofen oral suspension NF

15 MG, 30 MG B INDOCIN ORAL NFB ROXICODONE ORAL TABLET NF QL B INDOCIN RECTAL 3

5 MGg indomethacin er 1

B SUBSYS SUBLINGUAL LIQUID NF PA, QLB INDOMETHACIN ORAL CAPSULE NF400 MCG, 600 MCG, 800 MCG

20 MGg tramadol hcl er (biphasic) NF QL

g indomethacin oral capsule 25 mg, 1B TRAMADOL HCL ER ORAL NF QL 50 mg

CAPSULE EXTENDED RELEASE B KETOROLAC TROMETHAMINE NF ST, QL24 HOUR

NASALg tramadol hcl er oral tablet extended 2 QL

g ketorolac tromethamine oral 1release 24 hourB LODINE NFg tramadol hcl oral tablet 100 mg NFg meloxicam oral capsule NF QLg tramadol hcl oral tablet 50 mg 1g meloxicam oral tablet 1B TREZIX NF QLB MOBIC NFB ULTRAM NFg nabumetone oral 1B VTOL LQ 2 PA, QLB NAPRELAN NFB XTAMPZA ER 2 PA, QLB NAPROSYN ORAL SUSPENSION NF PAB ZEBUTAL 4 QLB NAPROSYN ORAL TABLET NFB ZOHYDRO ER NF PA, ST, QLg naproxen oral suspension 1 PAB ZTLIDO NF PA, QLg naproxen oral tablet 1Analgesics - Drugs for Pain and Inflammationg naproxen oral tablet delayed 1B CATAFLAM NF

releaseB CELEBREX NF QL

g naproxen sodium er oral tablet NFg celecoxib oral 2 QL extended release 24 hour 375 mg, g 500 mgdiclofenac potassium 1

Bg diclofenac sodium er 1 NAPROXEN SODIUM ER ORAL NFTABLET EXTENDED RELEASE g diclofenac sodium external gel 1 % NF24 HOUR 750 MG

g diclofenac sodium external solution NFg naproxen sodium oral tablet 1

g diclofenac sodium oral 1 275 mg, 550 mgB DUROLANE NF B PENNSAID NFB EC-NAPROSYN ORAL TABLET 3 B QMIIZ ODT NF

DELAYED RELEASE 375 MGB RELAFEN NF

B EC-NAPROSYN ORAL TABLET 4B RELAFEN DS NFDELAYED RELEASE 500 MGB SPRIX NF ST, QLg ec-naproxen 1


99


B BTIVORBEX NF CLEOCIN ORAL CAPSULE 4150 MG, 300 MGB VIVLODEX NF QL

B CLEOCIN ORAL CAPSULE 75 MG 2B ZIPSOR NFg clindamycin hcl oral 1Anti-Addiction / Substance Abuse Treatment AgentsB CLINDESSE 2B BUNAVAIL NF PA, QLg coremino NF PAg buprenorphine hcl sublingual 1 QLB DIFICID 4 QLg buprenorphine hcl-naloxone hcl 2 QLB DORYX NFB CHANTIX 4 PA, HB DORYX MPC NFB CHANTIX CONTINUING MONTH 4 PA, HgPAK doxycycline hyclate oral capsule 2

B gCHANTIX STARTING MONTH PAK 4 PA, H doxycycline hyclate oral tablet 2100 mgg naloxone hcl injection 1

g doxycycline hyclate oral tablet NFg naltrexone hcl oral 1150 mg, 50 mg, 75 mg

B NARCAN 2 QLg doxycycline hyclate oral tablet 1

B SUBOXONE NF PA, QL 20 mgB ZUBSOLV 2 QL g doxycycline hyclate oral tablet NF

Antibacterials - Drugs for Infections delayed release 100 mg, 150 mg, 200 mg, 50 mg, 75 mgB ACTICLATE NF

B DOXYCYCLINE HYCLATE ORAL NFg amoxicillin 1TABLET DELAYED RELEASE

g amoxicillin-potassium clavulanate er NF 80 MGg amoxicillin-potassium clavulanate 1 g doxycycline monohydrate oral 1

oral capsule 100 mg, 50 mgB AUGMENTIN NF g doxycycline monohydrate oral NFB AUGMENTIN ES-600 NF capsule 150 mg, 75 mgg avidoxy 1 g doxycycline monohydrate oral 3g suspension reconstitutedazithromycin oral 1

gB doxycycline monohydrate oral 1BACTRIM 4tabletB BACTRIM DS 4

B FLAGYL 4g cefadroxil 1B KEFLEX 4g cefdinir 1g levofloxacin oral 1g cefuroxime axetil 1g metronidazole oral 1B CENTANY 4 QLg metronidazole vaginal 2B CENTANY AT NFB MINOCYCLINE HCL ER ORAL NF PAg cephalexin 1

CAPSULE EXTENDED RELEASE B CIPRO ORAL TABLET 4 24 HOURg ciprofloxacin hcl oral 1 g minocycline hcl er oral tablet NF PAg extended release 24 hourclarithromycin er 2

gg minocycline hcl oral capsule 1clarithromycin oral suspension 2reconstituted g minocycline hcl oral tablet NF

g clarithromycin oral tablet 1 B MINOLIRA NF PA


1010


g Bmondoxyne nl oral capsule 100 mg 1 DIASTAT ACUDIAL 4 QLg Bmondoxyne nl oral capsule 75 mg NF DIASTAT PEDIATRIC 2 QLg gmorgidox oral 2 diazepam rectal 1 QLg gmupirocin calcium 3 QL divalproex sodium er 2g gmupirocin external 1 QL divalproex sodium oral capsule 2

delayed release sprinkleB NUZYRA ORAL 4 QLg divalproex sodium oral tablet 1g penicillin v potassium 1

delayed releaseB SOLODYN NF PA

g epitol 1g sulfamethoxazole-trimethoprim oral 1

g gabapentin oral capsule 1g sulfatrim pediatric 1

g gabapentin oral solution 250 1B TARGADOX NF mg/5mlg vandazole 2 g gabapentin oral tablet 1B VIBRAMYCIN ORAL CAPSULE 4 B KEPPRA ORAL 4 PA, STB VIBRAMYCIN ORAL SUSPENSION 4 B KEPPRA XR 4 PA, ST

RECONSTITUTEDB LAMICTAL 4 PA, ST

B XENLETA ORAL 4B LAMICTAL ODT ORAL KIT 21 X 3 PA, ST

B XEPI 3 QL 25 MG & 7 X 50 MG, 42 X 50 MG & B XIMINO NF PA 14X100 MGB BZITHROMAX ORAL 4 LAMICTAL ODT ORAL KIT 25 & 50 4 PA, ST

& 100 MGB ZITHROMAX TRI-PAK 4B LAMICTAL ODT ORAL TABLET 4 PA, STB ZITHROMAX Z-PAK 4

DISPERSIBLEAnticoagulants - Drugs to Treat or Prevent Blood Clots

B LAMICTAL STARTER 4 PA, STB ELIQUIS 2 QLB LAMICTAL XR ORAL KIT NF PA, ST

B ELIQUIS DVT/PE STARTER PACK 2 QLB LAMICTAL XR ORAL TABLET NF PAg enoxaparin sodium 2 QL EXTENDED RELEASE 24 HOUR

g jantoven 1 g lamotrigine er NF PAB LOVENOX NF QL g lamotrigine oral kit 3 PA, STB PRADAXA 2 QL g lamotrigine oral tablet 1g warfarin sodium oral 1 g lamotrigine oral tablet chewable 1B XARELTO 2 QL g lamotrigine oral tablet dispersible 3 PA, STB XARELTO STARTER PACK 2 QL g lamotrigine starter kit-blue 1

Anticonvulsants - Drugs for Seizures g lamotrigine starter kit-green 1g carbamazepine er oral capsule 2 g lamotrigine starter kit-orange 1

extended release 12 hourg levetiracetam er 2

g carbamazepine er oral tablet 3g levetiracetam oral 1extended release 12 hourB NAYZILAM 3 PA, QLg carbamazepine oral 1B NEURONTIN 4 PA, STB CARBATROL 4g oxcarbazepine 1B DEPAKOTE 4 PAB OXTELLAR XR NF STB DEPAKOTE ER 4 PA, STB QUDEXY XR NF STB DEPAKOTE SPRINKLES 4 PA, ST


1111


g groweepra 1 bupropion hcl oral 1B BSPRITAM NF ST CELEXA NFg gsubvenite 1 citalopram hydrobromide 1g Bsubvenite starter kit-blue 1 CYMBALTA NF QLg gsubvenite starter kit-green 1 desvenlafaxine succinate er 3 QLg gsubvenite starter kit-orange 1 doxepin hcl oral capsule 1B gTEGRETOL 3 doxepin hcl oral concentrate 1B BTEGRETOL-XR 4 DRIZALMA SPRINKLE 4 PA, QLB gTOPAMAX 4 PA, ST duloxetine hcl oral capsule delayed 2 QL

release particles 20 mg, 30 mg, B TOPAMAX SPRINKLE 4 PA, ST60 mg

g topiramate er NF PA, STg duloxetine hcl oral capsule delayed NF

g topiramate oral 1 release particles 40 mgB TRILEPTAL 4 PA, ST B EFFEXOR XR NFB TROKENDI XR NF ST g escitalopram oxalate oral solution 3B VALTOCO 3 PA, QL g escitalopram oxalate oral tablet 1B VIMPAT ORAL SOLUTION 3 PA g fluoxetine hcl oral capsule 1B VIMPAT ORAL TABLET NF PA g fluoxetine hcl oral capsule delayed 3 QLB XCOPRI ORAL TABLET 100 MG, NF PA release

150 MG, 200 MG, 50 MG g fluoxetine hcl oral solution 1B XCOPRI ORAL TABLET THERAPY NF PA g fluoxetine hcl oral tablet 10 mg 3 QL

PACK 14 X 12.5 MG & 14 X 25 MG, g fluoxetine hcl oral tablet 20 mg 314 X 150 MG & 14 X200 MG, 14 X g50 MG & 14 X100 MG, 150 & 200 fluoxetine hcl oral tablet 60 mg NF

MG, 50 & 200 MG g fluvoxamine maleate 1B ZONEGRAN 4 PA, ST g fluvoxamine maleate er 4 QLg zonisamide oral 1 B FORFIVO XL NF QL

Antidementia Agents - Drugs for Alzheimer's Disease B LEXAPRO NFand Dementia

g mirtazapine oral 1B ARICEPT NF

g nortriptyline hcl oral 1g donepezil hcl oral tablet 10 mg, 1

B PAMELOR NF5 mgg paroxetine hcl 1g donepezil hcl oral tablet 23 mg NFg paroxetine hcl er 3 QLg donepezil hcl oral tablet dispersible 1B PAXIL CR NF QLAntidepressants - Drugs for DepressionB PAXIL ORAL SUSPENSION 3g amitriptyline hcl oral 1B PAXIL ORAL TABLET NFg bupropion hcl er (sr) 1B PRISTIQ NF QLg bupropion hcl er (xl) oral tablet 1B PROZAC NFextended release 24 hour 150 mg,

300 mg B REMERON NFB BUPROPION HCL ER (XL) ORAL NF QL B REMERON SOLTAB NF

TABLET EXTENDED RELEASE g sertraline hcl oral 124 HOUR 450 MG


1212


g Btrazodone hcl oral 1 DIFLUCAN NFB BTRINTELLIX NF ST, QL EXTINA 4 STg gvenlafaxine hcl 1 fluconazole oral 1g Bvenlafaxine hcl er oral capsule 1 GYNAZOLE-1 3

extended release 24 hour g ketoconazole external cream 1 QLg venlafaxine hcl er oral tablet NF QL g ketoconazole external foam 3 ST

extended release 24 hourg ketoconazole external shampoo 1

B VIIBRYD 4 QLg ketodan external foam 3 ST

B VIIBRYD STARTER PACK 4B LOPROX EXTERNAL SHAMPOO NF

B WELLBUTRIN SR NFg nyamyc 1 QL

B WELLBUTRIN XL NFg nystatin external 1 QL

B ZOLOFT NFg nystatin mouth/throat 1

Antiemetics - Drugs for Nausea and Vomitingg nystop 1 QL

B BONJESTA NF PAg terbinafine hcl oral 1 QL

B DICLEGIS NF PAg terconazole 1

g doxylamine-pyridoxine NF PAB XOLEGEL NF

B GIMOTI NF QLAntigout Agents - Drugs for Gout

g metoclopramide hcl oral solution 1g allopurinol oral 1

g metoclopramide hcl oral tablet 1B COLCHICINE ORAL CAPSULE NF

g metoclopramide hcl oral tablet NFg colchicine oral tablet NFdispersibleB COLCRYS NFg ondansetron hcl oral 1g febuxostat 4 ST, QLg ondansetron odt 1B GLOPERBA 4 PAg prochlorperazine maleate oral 1B MITIGARE 2g promethazine hcl oral tablet 1B ULORIC NF ST, QLg promethazine hcl rectal 1B ZYLOPRIM 4g promethegan 1

Antimigraine Agents - Drugs for MigrainesB REGLAN 4B AIMOVIG SUBCUTANEOUS 2 PA, ST, QLg scopolamine 3

SOLUTION AUTO-INJECTOR B TRANSDERM SCOP (1.5 MG) NF 140 MG/ML, 70 MG/MLB TRANSDERM-SCOP (1.5 MG) NF B AMERGE NF QLB ZOFRAN NF g eletriptan hydrobromide 3 QLB ZUPLENZ NF QL B EMGALITY 2 PA, ST, QL

Antifungals - Drugs for Fungal Infections B EMGALITY (300 MG DOSE) 2 PA, ST, QLg ciclodan 1 B IMITREX ORAL NF QLg ciclopirox external gel 1 B IMITREX STATDOSE REFILL NF QLg ciclopirox external shampoo 2 B IMITREX STATDOSE SYSTEM NF QLg ciclopirox external solution 1 B IMITREX SUBCUTANEOUS NF QLg ciclopirox treatment NF B MAXALT NF QLB CRESEMBA ORAL 3 B MAXALT-MLT NF QL


1313


g Bnaratriptan hcl 1 QL ORGOVYX 4 PA, QL, SPB BONZETRA XSAIL NF QL PURIXAN 4 PA, SPB BRELPAX NF QL REVLIMID 3 PA, QL, SPB BREYVOW 2 PA, ST, QL ROZLYTREK 3 PA, QL, SPg Brizatriptan benzoate 1 QL SOLTAMOX NFg gsumatriptan succinate oral 1 QL tamoxifen citrate oral tablet 10 mg 1g gsumatriptan succinate refill 1 QL tamoxifen citrate oral tablet 20 mg 1 H-PAg Bsumatriptan succinate 1 QL TARGRETIN EXTERNAL 4 QL, SP

subcutaneous B TARGRETIN ORAL 3 SPB UBRELVY 2 PA, ST, QL B TASIGNA 3 PA, ST, QL, SPB ZEMBRACE SYMTOUCH NF QL B UKONIQ 4 PA, QL, SPB ZOLMITRIPTAN NASAL NF ST, QL B VERZENIO 3 PA, QL, SPg zolmitriptan oral tablet 2 QL B VITRAKVI 3 PA, QL, SPg zolmitriptan oral tablet dispersible 3 QL B XELODA NF QL, SPB ZOMIG NASAL SOLUTION 2.5 MG 3 ST, QL B ZEJULA 3 PA, QL, SPB ZOMIG NASAL SOLUTION 5 MG 4 ST, QL Antiparasitics - Drugs for Parasitic InfectionsB ZOMIG ORAL NF QL B ARAKODA 4 QLB ZOMIG ZMT NF QL g atovaquone-proguanil hcl 2

Antineoplastics - Drugs for Cancer g hydroxychloroquine sulfate oral 1B ALECENSA 3 PA, QL B KRINTAFEL 1 QLB ALUNBRIG 3 PA, QL, SP B MALARONE 4g anastrozole oral 1 g permethrin external 1B ARIMIDEX NF B PLAQUENIL NFg bexarotene NF SP Antiparkinson Agents - Drugs for Parkinson's DiseaseB CALQUENCE 3 PA, QL, SP B APOKYN NF PA, QL, SPg capecitabine 2 QL, SP g carbidopa-levodopa 1B ERIVEDGE 3 PA, QL, SP g carbidopa-levodopa er 1B ERLEADA 3 PA, QL, SP B DUOPA 4 PAB FEMARA NF B INBRIJA 3 PA, QL, SPg fluorouracil external solution 1 B KYNMOBI 4 PA, QL, SPB GLEEVEC NF PA, QL, SP B KYNMOBI TITRATION KIT 4 PA, SPB IBRANCE 3 PA, QL, SP B MIRAPEX 4B IDHIFA 3 PA, QL, SP B MIRAPEX ER NFg imatinib mesylate 1 PA, QL, SP B NOURIANZ NF PA, QLB KOSELUGO 3 PA, QL, SP g pramipexole dihydrochloride 1g letrozole oral 1 g pramipexole dihydrochloride er NFB LYNPARZA 3 PA, QL, SP g ropinirole hcl 1g mercaptopurine oral 1 g ropinirole hcl er NFB NUBEQA 3 PA, QL, SP B RYTARY NFB ODOMZO 3 PA, QL, SP B SINEMET 4


1414


g emtricitabine-tenofovir df oral tablet 1 QL, HAntiplatelets - Drugs for Heart Attack and Stroke 200-300 mgPrevention

gB BRILINTA 4 QL entecavir 3 SPg B EPCLUSA ORAL TABLET 2 PA, QLclopidogrel bisulfate oral 1

200-50 MGB PLAVIX NFB EPCLUSA ORAL TABLET 2 PA, QL, SPB ZONTIVITY 4 QL

400-100 MGAntipsychotics - Drugs for Mood Disorders

B GENVOYA 4 QLB ABILIFY NF QL

B HARVONI ORAL PACKET 3 QLg aripiprazole oral solution 4

B HARVONI ORAL TABLET 3 PA, ST, QL, SPg aripiprazole oral tablet 2 QL 45-200 MGg aripiprazole oral tablet dispersible NF QL B HARVONI ORAL TABLET 2 PA, ST, QL, SPg asenapine maleate NF ST, QL 90-400 MGB BGEODON ORAL NF QL ISENTRESS 2B BLATUDA NF QL ISENTRESS HD 2g Bolanzapine oral tablet 1 QL JULUCA 2 QLg Bolanzapine oral tablet dispersible 2 QL LEDIPASVIR-SOFOSBUVIR 2 PA, ST, QL, SPg Bquetiapine fumarate 1 MAVYRET 3 PA, QL, SPg Bquetiapine fumarate er 3 QL NORVIR ORAL PACKET 2B BRISPERDAL NF NORVIR ORAL SOLUTION 2g Brisperidone 1 NORVIR ORAL TABLET NFB BSAPHRIS NF ST, QL ODEFSEY 4 QLB gSEROQUEL NF oseltamivir phosphate oral capsule 2B gSEROQUEL XR NF QL oseltamivir phosphate oral 2 QL

suspension reconstitutedB VRAYLAR NF ST, QLB PREZCOBIX 2g ziprasidone hcl 2 QLB PREZISTA 2B ZYPREXA ORAL NF QLg ritonavir 2B ZYPREXA ZYDIS NF QLB RUKOBIA 4 PAAntivirals - Drugs for Viral InfectionsB SITAVIG NF QLg acyclovir oral 1B SOFOSBUVIR-VELPATASVIR 2 PA, QL, SPB ATRIPLA NF ST, QLB STRIBILD 4 QLB BARACLUDE ORAL SOLUTION 3 SPB SYMFI 2 QLB BARACLUDE ORAL TABLET NF SPB SYMFI LO 2 QLB CIMDUO 2 QLB TAMIFLU ORAL CAPSULE NFB DESCOVY NF PA, ST, QLB TAMIFLU ORAL SUSPENSION NF QLB DOVATO 2 QL

RECONSTITUTEDg efavirenz-emtricitab-tenofovir NF ST, QL

B TEMIXYS NF QLg efavirenz-lamivudine-tenofovir 2 QL

g tenofovir disoproxil fumarate 2 H-PAg emtricitabine-tenofovir df oral tablet 1 QL

B TIVICAY 3100-150 mg, 133-200 mg, B167-250 mg TIVICAY PD 3


1515


B TRIUMEQ 2 QL Bipolar Agents - Drugs for Mood DisordersB gTRUVADA ORAL TABLET 4 QL lithium carbonate er 1

100-150 MG, 133-200 MG, g lithium carbonate oral 1167-250 MG

B LITHOBID 4 PAB TRUVADA ORAL TABLET NF QL

Cardiovascular Agents - Drugs for Heart and Circulation 200-300 MGConditions

g valacyclovir hcl oral 1 QLB ACCUPRIL NF

B VALTREX NF QLg acetazolamide er 1

B VEMLIDY 4 ST, SPg acetazolamide oral 1

B VIREAD ORAL POWDER 3B ALDACTONE NF

B VIREAD ORAL TABLET 150 MG, 2g aliskiren fumarate NF200 MG, 250 MGB ALTACE NFB VIREAD ORAL TABLET 300 MG NFB ALTOPREV NFB VOSEVI 3 PA, QL, SPg amiodarone hcl oral 1B XOFLUZA (40 MG DOSE) 3 QLg amlodipine besylate oral 1B XOFLUZA (80 MG DOSE) 3 QLg amlodipine besylate-benazepril hcl 1B ZEPATIER 3 PA, QL, SPg amlodipine besylate-valsartan 2B ZOVIRAX ORAL 4g atenolol oral 1Anxiolytics - Drugs for Anxietyg atenolol-chlorthalidone 1g alprazolam er 1g atorvastatin calcium oral tablet 1 QL, H-PAg alprazolam intensol 1

10 mg, 20 mgg alprazolam oral 1

g atorvastatin calcium oral tablet 1 QLg alprazolam xr 1 40 mg, 80 mgB ATIVAN ORAL NF B AVALIDE NFg buspirone hcl oral 1 B AVAPRO NFg clonazepam oral 1 g benazepril hcl oral 1g diazepam intensol 1 g benazepril-hydrochlorothiazide 1g diazepam oral 1 B BENICAR NFB HALCION 4 B BENICAR HCT NFg hydroxyzine hcl oral 1 B BETAPACE NFg hydroxyzine pamoate oral 1 B BIDIL 2B KLONOPIN NF g bisoprolol fumarate oral 1g lorazepam intensol 1 g bisoprolol-hydrochlorothiazide 1g lorazepam oral concentrate 1 B BYSTOLIC NF

2 mg/mlB CALAN SR ORAL TABLET 4

g lorazepam oral tablet 1 EXTENDED RELEASE 120 MG, g triazolam 1 180 MGB BVALIUM NF CARDIZEM NFB BVISTARIL 4 CARDIZEM CD NFB BXANAX NF CARDIZEM LA NFB BXANAX XR NF CARDURA 4


1616


B gCAROSPIR 4 PA hydralazine hcl oral 1g gcartia xt 2 hydrochlorothiazide oral 1g Bcarvedilol 1 HYZAAR NFg gchlorthalidone 1 icosapent ethyl NF PAg Bclonidine hcl oral 1 INDERAL LA NFg gcolesevelam hcl NF irbesartan 1B gCOREG NF irbesartan-hydrochlorothiazide 1B gCORGARD 4 isosorbide mononitrate 1B gCORLANOR 3 PA, QL isosorbide mononitrate er 1B BCOZAAR NF KAPSPARGO SPRINKLE 4B gCRESTOR NF QL labetalol hcl oral 1g Bdiltiazem hcl er 1 LASIX 4g Bdiltiazem hcl er coated beads 2 LIPITOR NF QLg Bdiltiazem hcl oral 1 LIPOFEN NFg gdilt-xr 1 lisinopril oral 1B gDIOVAN NF lisinopril-hydrochlorothiazide 1B BDIOVAN HCT NF LOPID 4g Bdoxazosin mesylate oral 1 LOPRESSOR 4B gEDARBI 3 losartan potassium oral 1B gEDARBYCLOR 3 losartan potassium-hctz 1g Benalapril maleate oral 1 LOTENSIN 4B BEPANED 4 PA LOTENSIN HCT 4B BEXFORGE NF LOTREL NFB gEZALLOR SPRINKLE 3 PA lovastatin oral 1 Hg gezetimibe 2 matzim la 2g Bezetimibe-simvastatin NF MAXZIDE 4g Bfenofibrate oral capsule 150 mg, NF MAXZIDE-25 4

50 mg g metoprolol succinate er oral tablet 2g fenofibrate oral tablet 120 mg, NF extended release 24 hour 100 mg,

40 mg, 48 mg 200 mg, 50 mgg gfenofibrate oral tablet 145 mg, 2 metoprolol succinate er oral tablet 1

160 mg, 54 mg extended release 24 hour 25 mgB gFENOGLIDE NF metoprolol tartrate oral tablet 1

100 mg, 25 mg, 50 mgg flecainide acetate 1g metoprolol tartrate oral tablet NFB FLOLIPID 4 PA

37.5 mg, 75 mgg furosemide oral 1

B MICARDIS NFg gemfibrozil oral 1

B MINIPRESS 4B GONITRO NF QL

g minitran 1g guanfacine hcl 1

B MULTAQ NF PAB HEMANGEOL NF

g nadolol oral 1


1717


B gNEXLETOL 2 PA, ST, QL rosuvastatin calcium 2 QLB gNEXLIZET 2 PA, ST, QL simvastatin oral tablet 10 mg, 1 H-PA

20 mg, 40 mg, 5 mgg niacin (antihyperlipidemic) NFg simvastatin oral tablet 80 mg 1g niacin er (antihyperlipidemic) 3g sotalol hcl oral 1g niacor NFB SOTYLIZE 4 PAB NIASPAN NFg spironolactone oral 1g nifedipine er 1B TEKTURNA NFg nifedipine er osmotic release 1B TEKTURNA HCT NFg nifedipine oral 1g telmisartan 2B NITRO-BID 2B TENORETIC 100 NFB NITRO-DUR 3B TENORETIC 50 NFg nitroglycerin sublingual 1B TENORMIN NFg nitroglycerin transdermal 1B TOPROL XL NFg nitroglycerin translingual NF QLg torsemide 1B NITROLINGUAL NF QLg triamterene-hctz 1B NITROMIST 4 QLB TRICOR NFB NITROSTAT 4g valsartan 2B NITRO-TIME 3g valsartan-hydrochlorothiazide 1B NORVASC NFB VASCEPA NF PAg olmesartan medoxomil oral 2B VASOTEC NFg olmesartan medoxomil-hctz 2g verapamil hcl er oral capsule 3g omega-3-acid ethyl esters 2

extended release 24 hour 100 mg, B PACERONE ORAL TABLET 3 200 mg, 300 mg

100 MG, 400 MGg verapamil hcl er oral capsule 1

B PACERONE ORAL TABLET 200 MG 4 extended release 24 hour 120 mg, B PRALUENT NF PA, ST, QL 180 mg, 240 mg, 360 mgg gpravastatin sodium 1 verapamil hcl er oral tablet 1

extended releaseg prazosin hcl oral 1g verapamil hcl oral 1B PRINIVIL 4B VERELAN 4B PROCARDIA XL NFB VERELAN PM 4g propranolol hcl er 2B VERQUVO NF PA, QLg propranolol hcl oral 1B VYTORIN NFB QBRELIS 4 PAB WELCHOL 2g quinapril hcl 1B ZESTORETIC NFg ramipril 1B ZESTRIL NFB RANEXA NFB ZETIA NFg ranolazine er 2B ZIAC ORAL TABLET 10-6.25 MG, 3B REPATHA 2 PA, ST, QL

2.5-6.25 MGB REPATHA PUSHTRONEX SYSTEM 2 PA, ST, QLB ZIAC ORAL TABLET 5-6.25 MG 4B REPATHA SURECLICK 2 PA, ST, QLB ZOCOR NF


1818


g methylphenidate hcl oral tablet 3Central Nervous System Agents - Drugs for Attention chewableDeficit Disorder

BB ADDERALL NF MYDAYIS NF QLB B PROCENTRA 3ADDERALL XR 2 QL

BB QUILLICHEW ER NF QLADHANSIA XR NF QLBg amphetamine-dextroamphetamine 1 QUILLIVANT XR NF QL

g g relexxii NF QLamphetamine-dextroamphetamine NF QLer B RITALIN NF

B APTENSIO XR NF QL B RITALIN LA NF QLg atomoxetine hcl 4 QL B STRATTERA NF QLB CONCERTA 2 QL B VYVANSE NF QLB DEXEDRINE NF QL B ZENZEDI NFg dexmethylphenidate hcl 1 Central Nervous System Agents - Drugs for Multiple g dexmethylphenidate hcl er 3 QL Sclerosisg Bdextroamphetamine sulfate er 3 QL AMPYRA NF PA, QL, SPg Bdextroamphetamine sulfate oral 1 AUBAGIO 4 PA, QL, SP

solution B AVONEX PEN 3 PA, QL, SPg dextroamphetamine sulfate oral 3 B AVONEX PREFILLED 3 PA, QL, SP

tabletB BAFIERTAM 3 PA, QL, SP

B FOCALIN 4B BETASERON 3 PA, QL, SP

B FOCALIN XR NF QLB COPAXONE NF PA, QL, SP

g guanfacine hcl er 2 QLg dalfampridine er 3 PA, QL, SP

B INTUNIV NF QLB EXTAVIA NF PA, ST, QL, SP

B JORNAY PM NF QLB GILENYA 4 PA, QL, SP

B METHYLIN 4g glatiramer acetate 3 PA, QL, SP

g methylphenidate hcl er (cd) 2 QLg glatopa 3 PA, QL, SP

g methylphenidate hcl er (la) oral 2 QLB KESIMPTA 3 PA, QL, SPcapsule extended release 24 hour B MAVENCLAD 4 PA, ST, QL, SP10 mg, 20 mg, 30 mg, 40 mgBg MAYZENT 4 PA, QL, SPmethylphenidate hcl er (la) oral 2

capsule extended release 24 hour B PLEGRIDY INTRAMUSCULAR 4 PA, QL60 mg B PLEGRIDY STARTER PACK 4 PA, QL, SP

g methylphenidate hcl er (xr) NF QL B PLEGRIDY SUBCUTANEOUS 4 PA, QL, SPg methylphenidate hcl er oral tablet 4 QL

B REBIF NF PA, QL, SPextended release 10 mg, 20 mgB REBIF REBIDOSE NF PA, QL, SPg methylphenidate hcl er oral tablet NF QLB REBIF REBIDOSE TITRATION NF PA, QL, SPextended release 18 mg, 27 mg,

PACK36 mg, 54 mg, 72 mgBg REBIF TITRATION PACK NF PA, QL, SPmethylphenidate hcl er oral tablet NF QL

extended release 24 hour Central Nervous System Agents - Miscellaneousg Bmethylphenidate hcl oral solution 1 AUSTEDO 3 PA, QL, SPg Bmethylphenidate hcl oral tablet 1 LYRICA NF PA, ST, QL


1919


B LYRICA CR NF ST, QL Dermatological Agents - Drugs for Skin ConditionsB BNUEDEXTA 2 PA ABSORICA NF PAg gpregabalin oral capsule 2 QL accutane 2g Bpregabalin oral solution NF QL ACZONE NF QLB BRILUTEK 4 SP ALA SCALP 4g griluzole 1 SP ala-cort external cream 1 % NFB gTIGLUTIK 4 PA ala-cort external cream 2.5 % 1B BZEPOSIA 4 PA, QL, SP ALDARA 4 QLB BZEPOSIA 7-DAY STARTER PACK 4 PA, QL, SP ALTRENO NF PA, QLB gZEPOSIA STARTER KIT 4 PA, QL, SP amnesteem 2

BDental and Oral Agents - Drugs for Mouth and Throat AMZEEQ NF PA, QLConditions B ATRALIN NF PA, QL

g cavarest 1 B AVAR CLEANSER 4g chlorhexidine gluconate mouth/ 1 B AVAR LS CLEANSER NF

throatB AVAR-E EMOLLIENT 3

B CLINPRO 5000 3B AVAR-E GREEN 3

B DENTA 5000 PLUS 4B AVAR-E LS 3

B DENTAGEL 4B AVITA NF PA, QL

B FLUORIDEX 3g azelaic acid external 3

B FLUORIDEX ENHANCED 3g betamethasone dipropionate aug 1WHITENING

external creamg lidocaine hcl mouth/throat 1

g betamethasone dipropionate aug 1g lidocaine viscous hcl 1 external gelB NAFRINSE DAILY/NEUTRAL 2 g betamethasone dipropionate aug 3B NAFRINSE WEEKLY 4 external lotionB g betamethasone dipropionate aug 3PERIDEX 4

external ointmentg periogard 1g betamethasone dipropionate 2B PREVIDENT 5000 BOOSTER PLUS 3

external creamB PREVIDENT 5000 DRY MOUTH 4

g betamethasone dipropionate 1B PREVIDENT 5000 ORTHO 3 external lotion

DEFENSEg betamethasone dipropionate 2

B PREVIDENT 5000 PLUS 4 external ointmentB PREVIDENT DENTAL 4 g bp 10-1 1B PREVIDENT MOUTH/THROAT 3 g calcipotriene-betameth diprop 3 QLg sf 1 external ointmentg gsf 5000 plus 1 calcipotriene-betameth diprop NF QL

external suspensiong sodium fluoride 5000 plus 1g calcitriol external 1 QLg sodium fluoride 5000 ppm 1B CAPEX 2g sodium fluoride dental 1B CARAC NF


2020


g Bclaravis 2 DERMA-SMOOTHE/FS SCALP 4B BCLEOCIN-T 4 DESONATE NF ST, QLg gclindacin etz external swab 1 desonide external cream 3 QLg gclindacin-p 1 desonide external gel NF ST, QLB gCLINDAGEL NF QL desonide external lotion 3 QLg gclindamycin phos-benzoyl perox 3 QL desonide external ointment 3 QL

external gel 1.2-5 % B DESOWEN 3 QLg clindamycin phosphate external 3 B DIPROLENE 4

foamB DIPROLENE AF 4

g clindamycin phosphate external 3B DUPIXENT 4 PA, ST, QL, SPlotionB EFUDEX 4g clindamycin phosphate external 1 QLB ENSTILAR 4 QLsolutionBg EUCRISA 3 ST, QLclindamycin phosphate external 1

swab B EVOCLIN 4B CLINDAMYCIN PHOSPHATE GEL NF B FINACEA 4

1 % EXTERNAL g fluocinolone acetonide body 3 QLg clindamycin phosphate gel 1 % 3 QL g fluocinolone acetonide external 3 QLexternal creamg clobetasol propionate external 2 QL g fluocinolone acetonide external 2 QLcream ointmentg clobetasol propionate external foam NF QL g fluocinolone acetonide external 3 QLg clobetasol propionate external gel 2 QL solutiong clobetasol propionate external 1 QL g fluocinolone acetonide scalp 3

liquid g fluocinonide external cream 0.05 % 1g clobetasol propionate external NF QL g fluocinonide external cream 0.1 % NF QLlotion

g fluocinonide external gel 1g clobetasol propionate external 2 QLg fluocinonide external ointment 1ointmentgg fluocinonide external solution 1clobetasol propionate external NF QLBshampoo FLUOROPLEX 4

g Bclobetasol propionate external 1 QL FLUOROURACIL EXTERNAL NFsolution CREAM 0.5 %

B gCLOBEX NF QL fluorouracil external cream 5 % 1B gCLOBEX SPRAY NF QL hydrocortisone external cream 1 % NFg gclodan external shampoo NF QL hydrocortisone external cream 1g 2.5 %clotrimazole-betamethasone 1 QL

gexternal cream hydrocortisone external lotion 2.5 % 1g gclotrimazole-betamethasone 1 hydrocortisone external ointment 1

external lotion 1 %, 2.5 %g gdapsone external gel 5 % NF QL imiquimod external cream 3.75 % NF QLB gDAPSONE EXTERNAL GEL 7.5 % NF QL imiquimod external cream 5 % 1 QLB BDERMA-SMOOTHE/FS BODY 4 QL IMIQUIMOD PUMP NF QL


2121


B gIMPEKLO NF QL sulfacetamide sodium-sulfur 1external lotion 10-5 %B IMPOYZ NF QL

g sulfacetamide sodium-sulfur NFg isotretinoin oral capsule 10 mg, 2external lotion 9.8-4.8 %20 mg, 30 mg, 40 mg

g sulfacetamide sodium-sulfur 1g ivermectin external cream NF QLexternal pad 10-4 %

B KENALOG EXTERNAL NF QLg sulfacetamide sodium-sulfur 1

B KLISYRI NF ST, QL external suspension 10-5 %B METROCREAM 4 g sulfacetamide sodium-sulfur NFB METROGEL NF external suspension 8-4 %B gMETROLOTION 4 sulfacetamide sod-sulfur wash 1g Bmetronidazole external cream 1 SULFACLEANSE 8/4 NFg gmetronidazole external gel 0.75 % 1 sulfamez wash 1g Bmetronidazole external gel 1 % NF SUMADAN WASH NFg Bmetronidazole external lotion 1 SUMAXIN 4B BMIRVASO 4 PA, QL SUMAXIN WASH 3g Bmometasone furoate external 1 SYNALAR NF QLg Bmyorisan 2 TACLONEX NF QLg gneuac external gel 3 QL tazarotene external cream NF PA, QLB BNORITATE NF TAZORAC NF PA, QLB BOLUX NF QL TEMOVATE 4 QLB BPLEXION NF TEXACORT 2B gPLEXION CLEANSER NF tretinoin external cream 3 QLB gPLEXION CLEANSING CLOTH NF tretinoin external gel 0.01 % NF QLB gRETIN-A NF PA, QL tretinoin external gel 0.05 % NF PA, QLB gRHOFADE 4 PA, QL tretinoin gel 0.025 % external NFg grosadan external cream 1 tretinoin gel 0.025 % external NF QLg grosadan external gel 1 triamcinolone acetonide external 2 QL

aerosol solutionB SERNIVO NF QLg triamcinolone acetonide external 1B SOOLANTRA 4 QL

cream 0.025 %, 0.1 %g sss 10-5 1g triamcinolone acetonide external 1 QL

g sulfacetamide sodium-sulfur 1 cream 0.5 %external cream 10-2 %, 10-5 %

g triamcinolone acetonide external 1g sulfacetamide sodium-sulfur NF lotionexternal cream 9.8-4.8 %g triamcinolone acetonide external 1g sulfacetamide sodium-sulfur 1 ointment 0.025 %, 0.1 %, 0.5 %external emulsiong triamcinolone acetonide external NFg sulfacetamide sodium-sulfur NF ointment 0.05 %

external liquid 10-2 %, 9.8-4.8 %B TRIANEX NFg sulfacetamide sodium-sulfur 1g triderm external cream 0.1 % 1external liquid 9-4 %, 9-4.5 %


2222


g Btriderm external cream 0.5 % 1 QL FREESTYLE LIBRE 2 SENSOR 3 PAB BTRIDESILON 3 QL FREESTYLE LIBRE READER 3 PA, QLB BVANOS NF QL FREESTYLE LIBRE SENSOR 3 PA

SYSTEMB VECTICAL NF QLB INSULIN SYRINGE AND PEN 2B VERDESO NF QL

NEEDLESB WYNZORA NF QL

B LANCETS 3g zenatane 2

B NOVOFINE AUTOCOVER PEN 2B ZILXI NF PA, ST, QL NEEDLEB ZYCLARA NF QL B NOVOFINE PEN NEEDLE 2B ZYCLARA PUMP NF QL B NOVOFINE PLUS PEN NEEDLE 2

Diabetes - Glucose Monitoring B NOVOTWIST 2 B ACCU-CHEK FASTCLIX LANCET 1 B ONETOUCH DELICA PLUS 1

KIT LANCETSB ACCU-CHEK FASTCLIX LANCETS 1 B ONETOUCH ULTRA 2 KIT 1g accu-chek guide kit w/device 3 (Accu-Chek W/DEVICE

Guide Me) B ONETOUCH ULTRA BLUE TEST 1B ACCU-CHEK GUIDE TEST STRIPS 3 STRIPS IN VITRO STRIPB BACCU-CHEK GUIDE TEST STRIPS 3 QL ONETOUCH ULTRA MINI KIT 1

W/DEVICEB ACCU-CHEK SOFTCLIX LANCET 1BDEVICE KIT ONETOUCH ULTRASOFT 1

LANCETSB ACCU-CHEK SOFTXLIX LANCETS 1B ONETOUCH VERIO FLEX SYSTEM 1g bd autoshield duo pen needles 2

KIT W/DEVICEg bd ultra-fine insulin syringes 2B ONETOUCH VERIO IQ SYSTEM 1g bd ultra-fine pen needles 2B ONETOUCH VERIO KIT W/DEVICE 1B CONTOUR NEXT EZ KIT 2B ONETOUCH VERIO REFLECT 1W/DEVICEB ONETOUCH VERIO TEST STRIPS 1 QLB CONTOUR NEXT MONITOR KIT 2

W/DEVICE Diabetes - InsulinB BCONTOUR NEXT ONE KIT 2 ADMELOG NF QLB BCONTOUR NEXT TEST STRIPS 2 QL ADMELOG SOLOSTAR NF QLB BDEXCOM G4 / G5 / G6 RECEIVER, 3 PA, QL AFREZZA NF PA, QL

TRANSMITTER, SENSOR B BASAGLAR KWIKPEN NF QL(INCLUDING PLATINUM,

B HUMALOG KWIKPEN 2 QLPLATINUM PEDIATRIC)B HUMALOG MIX 50/50 KWIKPEN 2 QLB DEXCOM G4 / G5 / G6 RECEIVER, 3 PA, QLBTRANSMITTER, SENSOR HUMALOG MIX 50/50 VIAL 2 QL

(INCLUDING PLATINUM, B HUMALOG MIX 75/25 KWIKPEN 2 QLPLATINUM PEDIATRIC) DEVICE

B HUMALOG MIX 75/25 VIAL 2 QLB FREESTYLE LIBRE 14 DAY 3 PA

B HUMALOG U-100 JUNIOR 2 QLREADERKWIKPEN

B FREESTYLE LIBRE 14 DAY 3 PAB HUMALOG VIAL 2 QLSENSORB HUMULIN 70/30 KWIKPEN 2 QLB FREESTYLE LIBRE 2 READER 3 PA


2323


B HUMULIN 70/30 VIAL 2 QL Diabetes - Non-Insulin AgentsB BHUMULIN N KWIKPEN 2 QL ACTOS NF QLB BHUMULIN N VIAL 2 QL ADLYXIN NF PA, ST, QLB BHUMULIN R U-500 KWIKPEN 2 QL ADLYXIN STARTER PACK NF PA, ST, QLB BHUMULIN R U-500 VIAL 2 QL ALOGLIPTIN BENZOATE NF QLB BHUMULIN R VIAL 2 QL ALOGLIPTIN-METFORMIN HCL NF QLB BINSULIN ASPART NF ST, QL ALOGLIPTIN-PIOGLITAZONE NF QLB BINSULIN ASPART FLEXPEN NF ST, QL AMARYL NFB BINSULIN ASPART PENFILL NF ST, QL BAQSIMI ONE PACK 2 QLB BINSULIN LISPRO NF QL BAQSIMI TWO PACK 2 QLB BINSULIN LISPRO (1 UNIT DIAL) NF QL BYDUREON BCISE 2 PA, ST, QL

AUTOINJECTORB INSULIN LISPRO JUNIOR NF QLBKWIKPEN BYETTA 10 MCG PEN 2 PA, ST, QL

B BINSULIN LISPRO PROT & LISPRO NF QL BYETTA 5 MCG PEN 2 PA, ST, QLB BLANTUS SOLOSTAR 2 QL FARXIGA NF ST, QLB BLANTUS U-100 VIAL 2 QL FORTAMET NF PAB gLEVEMIR U-100 FLEXTOUCH NF QL glimepiride 1B gLEVEMIR U-100 VIAL NF ST, QL glipizide er 1B gLYUMJEV KWIKPEN 2 QL glipizide ir 1B gLYUMJEV VIAL 2 QL glipizide xl 1B BNOVOLIN 70/30 FLEXPEN NF ST, QL GLUCAGON EMERGENCY KIT 2 (Eli Lilly), QL

1 MG INJECTION 1 MG B NOVOLIN 70/30 FLEXPEN RELION NF ST, QLB GLUCAGON EMERGENCY KIT 2 (Fresenius), QLB NOVOLIN 70/30 RELION NF ST, QL

1 MG INJECTION 1 MG B NOVOLIN 70/30 VIAL NF ST, QL

B GLUCOTROL XL 4B NOVOLIN N FLEXPEN NF ST, QL

B GLUMETZA NF PAB NOVOLIN N FLEXPEN RELION NF ST, QL

g glyburide oral 1B NOVOLIN N RELION NF ST, QL

g glyburide-metformin 1B NOVOLIN N VIAL NF ST, QL

B GLYXAMBI 2 ST, QLB NOVOLIN R FLEXPEN NF ST, QL

B GVOKE HYPOPEN 1-PACK 2 QLB NOVOLIN R FLEXPEN RELION NF ST, QL

B GVOKE HYPOPEN 2-PACK 2 QLB NOVOLIN R RELION NF ST, QL

B GVOKE PFS 2 QLB NOVOLIN R VIAL NF ST, QL

B JANUVIA NF ST, QLB NOVOLOG FLEXPEN NF ST, QL

B JARDIANCE 2 ST, QLB NOVOLOG PENFILL NF ST, QL

B JENTADUETO 2 QLB NOVOLOG U-100 VIAL NF ST, QL

B JENTADUETO XR 2 QLB SEMGLEE NF QL

B KAZANO 2 QLB TOUJEO MAX SOLOSTAR 3 QL

B KOMBIGLYZE XR 2 QLB TOUJEO SOLOSTAR 3 QL

g metformin hcl er 1B TRESIBA NF QL

g metformin hcl er (mod) NF PAB TRESIBA FLEXTOUCH NF QL


2424


g Bmetformin hcl er (osm) NF PA NEULASTA 3 SPg Bmetformin hcl oral solution 3 NOVOEIGHT 3 SPg Bmetformin hcl oral tablet 1 NUWIQ 3 SPB BNESINA 2 QL RECOMBINATE 3 SPB BONGLYZA 2 QL RETACRIT INJECTION SOLUTION 3 QL, SP

10000 UNIT/ML, 2000 UNIT/ML, B OSENI 2 QL3000 UNIT/ML, 4000 UNIT/ML,

B OZEMPIC 2 PA, ST, QL 40000 UNIT/MLg pioglitazone hcl 1 QL B RETACRIT INJECTION SOLUTION 3B RIOMET NF 20000 UNIT/MLB BRYBELSUS 2 PA, ST, QL ZARXIO 3B BSOLIQUA 2 QL ZIEXTENZO 4 SPB SYMLINPEN 120 NF QL Drugs for Sexual DysfunctionB BSYMLINPEN 60 NF QL ADDYI 4 PA, QLB BSYNJARDY 2 QL CIALIS ORAL TABLET 10 MG, NF QL

20 MGB SYNJARDY XR 2 QLB CIALIS ORAL TABLET 2.5 MG, NF QLB TRADJENTA 2 QL

5 MGB TRIJARDY XR 2 QLB IMVEXXY MAINTENANCE PACK 2 QLB TRULICITY 2 PA, ST, QLB IMVEXXY STARTER PACK 2 QLB VICTOZA SOLUTION PEN- 2 PA, ST, (2 Pak), B INTRAROSA NF PA, QLINJECTOR 18 MG/3ML QLBSUBCUTANEOUS OSPHENA 3 PA, QL

B gVICTOZA SOLUTION PEN- 3 PA, ST, (2 Pak), sildenafil citrate oral tablet 100 mg, 2 QLINJECTOR 18 MG/3ML QL 25 mg, 50 mgSUBCUTANEOUS B STENDRA 4 PA, QLDrugs for Blood Disorders g tadalafil oral tablet 10 mg, 20 mg 2 QL

B ADVATE 3 SP g tadalafil oral tablet 2.5 mg, 5 mg 2 QLB ADYNOVATE 4 PA, SP B VIAGRA NF QLB AFSTYLA INTRAVENOUS KIT 1000 4 PA B VYLEESI 3 PA, QL

UNIT, 2000 UNIT, 250 UNIT, 3000 Electrolytes / VitaminsUNIT, 500 UNIT

g cyanocobalamin injection solution 1B AFSTYLA INTRAVENOUS KIT 1500 4 PA, SP1000 mcg/mlUNIT, 2500 UNIT

B CYANOCOBALAMIN INJECTION 3B ALPHANATE 3 SPSOLUTION 2000 MCG/ML

B ARANESP (ALBUMIN FREE) 3 QL, SPB DRISDOL 4

B ELOCTATE NF PA, SPB ERGOCAL 3

B JIVI 4 PA, SPg ergocalciferol oral capsule 1

B KOATE 3 SPFLORIVA PLUS 3

B KOATE-DVI 3 SPg folic acid oral tablet 1 mg 1

B KOGENATE FS 3 SPg klor-con 1

B KOVALTRY 3 SPg klor-con 10 1

B MULPLETA 3 PA, QL, SP


2525


g gklor-con m10 1 pantoprazole sodium tablet delayed 1release 20 mg oralB KLOR-CON M15 3

g pantoprazole sodium tablet delayed NFg klor-con m20 1release 20 mg oral

B K-TAB 3g pantoprazole sodium tablet delayed NF

B LOKELMA 3 PA, QL release 40 mg oralg multi-vitamin/fluoride 1 g pantoprazole sodium tablet delayed 1g multivitamin/fluoride oral solution 1 release 40 mg oralg Bmultivitamin/fluoride oral tablet 1 PROTONIX ORAL NF

chewable 0.25 mg, 0.5 mg, 1 mg B PYLERA NF QLB NASCOBAL 4 B RABEPRAZOLE SODIUM ORAL NF QLB POLY-VI-FLOR 3 CAPSULE SPRINKLEg gpotassium chloride crys er oral 1 rabeprazole sodium oral tablet 2 QL

tablet extended release 10 meq, delayed release20 meq g sucralfate oral suspension 3

g potassium chloride er 1 g sucralfate oral tablet 1g potassium chloride oral packet 1 Gastrointestinal Agents - Drugs for Bowel, Intestine and g potassium chloride oral solution 1 Stomach Conditions

20 meq/15ml (10%), 40 meq/15ml B ANASPAZ 2(20%)

B CLENPIQ 3g potassium citrate er 1

g dicyclomine hcl oral 1B QUFLORA PEDIATRIC 3

g diphenoxylate-atropine 1B UROCIT-K 10 4

B ED-SPAZ 3B UROCIT-K 15 4

g gavilyte-c 1 HB UROCIT-K 5 4

g gavilyte-g 1 QL, HB VELTASSA 3 PA, QL

B GOLYTELY 4 QLg vitamin d (ergocalciferol) oral 1

g hyoscyamine sulfate er 1capsule 1.25 mg (50000 ut)g hyoscyamine sulfate oral 1Gastrointestinal Agents - Drugs for Acid Reflux and Ulcerg hyoscyamine sulfate sl 1B ACIPHEX NF QLg hyoscyamine sulfate sublingual 1B ACIPHEX SPRINKLE NF QLg hyosyne 1B CARAFATE NFB LEVBID 4B CYTOTEC 4B LEVSIN ORAL 4B DEXILANT 3 QLB LEVSIN/SL 4B FIRST-OMEPRAZOLE 3 PAB LINZESS 2 PA, QLg misoprostol oral 1B LOMOTIL 4B OMECLAMOX-PAK 4 QLB MOTEGRITY 3 PA, QLg omeprazole oral capsule delayed 1Brelease MOVIPREP 3 QL

B BOMEPRAZOLE+SYRSPEND SF 3 PA NULEV 4ALKA g oscimin 1

g pantoprazole sodium oral packet NF g oscimin sr 1


2626


g Bpeg-3350/electrolytes 1 QL, H VIOKACE ORAL TABLET 20880- 4 ST78300 UNITg peg-3350/electrolytes/ascorbat 3 QL

B ZENPEP 2g peg-kcl-nacl-nasulf-na asc-c 3 QLGenitourinary Agents - Drugs for Bladder, Genital and B PLENVU 3 QLKidney Conditions

B SUPREP BOWEL PREP KIT 3 QLB AURYXIA 3

B SUTAB 2B DITROPAN XL NF

B SYMAX DUOTAB NFB GELNIQUE NF

B SYMAX-SL 4g oxybutynin chloride er 2

B SYMAX-SR 4g oxybutynin chloride oral 1

B SYMPROIC 2 PA, QLg phenazo oral tablet 200 mg 1

B TRULANCE 4 PA, ST, QLg phenazopyridine hcl oral tablet 1

B URSO 250 NF 100 mg, 200 mgB URSO FORTE NF B PYRIDIUM 3g ursodiol oral 1 B TOVIAZ 3B VIBERZI 4 PA, QL B VELPHORO 2B XIFAXAN NF PA, QL Genitourinary Agents - Drugs for Prostate ConditionsB ZELNORM 3 PA, ST, QL g alfuzosin hcl er 1

Genetic or Enzyme Disorder - Drugs for Replacement, g finasteride oral tablet 5 mg 1Modification, Treatment

B FLOMAX NFB CERDELGA 3 PA, SP

B PROSCAR NFg clovique 3 PA, SP

g tamsulosin hcl 1B CREON 2

g terazosin hcl 1B CUPRIMINE NF SP

B UROXATRAL NFB DEPEN TITRATABS 3 SP

Hormonal Agents - Hormone Replacement and Birth B ENDARI 4 PA, QL Controlg nitisinone NF PA, SP g afirmelle 1 HB NITYR NF PA, SP B ALORA 3 QLB ORFADIN 3 PA, SP g altavera 1 HB PANCREAZE ORAL CAPSULE NF ST g alyacen 1/35 1 H

DELAYED RELEASE PARTICLES g amethia 310500-35500 UNIT, 16800-56800 gUNIT, 21000-54700 UNIT, 2600- apri 1 H

8800 UNIT, 4200-14200 UNIT g ashlyna 3g penicillamine oral capsule 4 SP g aubra 1 Hg penicillamine oral tablet 2 SP g aubra eq 1 HB PERTZYE 4 ST g aurovela 1.5/30 2B STRENSIQ 3 PA, QL, SP g aurovela 1/20 2B SYPRINE NF PA, SP g aurovela 24 fe 3B TEGSEDI 3 PA, QL, SP g aurovela fe 1.5/30 1 Hg trientine hcl 3 PA, SP g aurovela fe 1/20 1 H


2727


g gaviane 1 H drospirenone-ethinyl estradiol NFB BAYGESTIN 4 DUAVEE NF QLg Bayuna 1 H ELESTRIN 3g gazurette 2 elinest 1 Hg gbalziva 2 eluryng NFg gbekyree 2 emoquette 1 HB gBEYAZ NF enskyce 1 HB gBIJUVA 3 errin 1 Hg gblisovi 24 fe 3 estarylla 1 Hg Bblisovi fe 1.5/30 1 H ESTRACE NFg gblisovi fe 1/20 1 H estradiol oral 1g gbriellyn 2 estradiol patch twice weekly 2 (generic for

0.025 mg/24hr transdermal Minivelle), QLg camila 1 Hg estradiol patch twice weekly NF (generic for g camrese 3

0.025 mg/24hr transdermal Minivelle), QLg camrese lo 4

g estradiol patch twice weekly 2 (generic for g charlotte 24 fe NF 0.0375 mg/24hr transdermal Minivelle), QLg chateal 1 H g estradiol patch twice weekly NF (generic for g chateal eq 1 H 0.0375 mg/24hr transdermal Minivelle), QLB gCLIMARA NF QL estradiol patch twice weekly 2 (generic for

0.05 mg/24hr transdermal Minivelle), QLB CLIMARA PRO 3 QLg estradiol patch twice weekly NF (generic for g cryselle-28 1 H

0.05 mg/24hr transdermal Minivelle), QLg cyclafem 1/35 1 Hg estradiol patch twice weekly 2 (generic for g cyred 1 H 0.075 mg/24hr transdermal Minivelle), QL

g cyred eq 1 H g estradiol patch twice weekly NF (generic for g dasetta 1/35 1 H 0.075 mg/24hr transdermal Minivelle), QLg daysee 3 g estradiol patch twice weekly 2 (generic for g 0.1 mg/24hr transdermal Minivelle), QLdeblitane 1 H

gg estradiol patch twice weekly NF (generic for delyla 1 H0.1 mg/24hr transdermal Minivelle), QLB DEPO-PROVERA 4 QL

g estradiol transdermal patch weekly 1 (generic for INTRAMUSCULAR SUSPENSIONClimara), QLB DEPO-PROVERA 4

g estradiol vaginal cream 4INTRAMUSCULAR SUSPENSION PREFILLED SYRINGE g estradiol vaginal tablet 2

B DEPO-SUBQ PROVERA 104 2 QL B ESTRING 2 QLg desogestrel-ethinyl estradiol oral 2 B ESTROGEL 3 QL

tablet 0.15-0.02/0.01 mg (21/5) g etonogestrel-ethinyl estradiol NFg desogestrel-ethinyl estradiol oral 1 H B EVAMIST 2

tablet 0.15-30 mg-mcgg falmina 1 HB DIVIGEL 3g fayosim NFg dotti NF QLg femynor 1 Hg drospiren-eth estrad-levomefol NF


2828


g ggemmily NF lillow 1 Hg Bhailey 1.5/30 2 LO LOESTRIN FE NFg Bhailey 24 fe 3 LOESTRIN 1.5/30 (21) NFg Bhailey fe 1.5/30 1 H LOESTRIN 1/20 (21) NFg Bhailey fe 1/20 1 H LOESTRIN FE 1.5/30 NFg Bheather 1 H LOESTRIN FE 1/20 NFg giclevia 2 H lojaimiess 4g gincassia 1 H loryna NFg Bintrovale 2 H LOSEASONIQUE 4g gisibloom 1 H low-ogestrel 1 Hg gjaimiess 3 lo-zumandimine NFg gjasmiel NF lutera 1 Hg gjencycla 1 H lyleq 1 Hg gjolessa 2 H lyllana NF QLg gjuleber 1 H lyza 1 Hg gjunel 1.5/30 2 marlissa 1 Hg gjunel 1/20 2 medroxyprogesterone acetate 1 QL, H

intramuscular suspensiong junel fe 1.5/30 1 Hg medroxyprogesterone acetate 1 Hg junel fe 1/20 1 H

intramuscular suspension prefilled g junel fe 24 3 syringeg kalliga 1 H g medroxyprogesterone acetate oral 1g kariva 2 B MENOSTAR 3 QLg kurvelo 1 H g merzee NFg larin 1.5/30 2 g mibelas 24 fe NFg larin 1/20 2 g microgestin 1.5/30 2g larin 24 fe 3 g microgestin 1/20 2g larin fe 1.5/30 1 H g microgestin 24 fe 3g larin fe 1/20 1 H g microgestin fe 1.5/30 1 Hg larissia 1 H g microgestin fe 1/20 1 Hg lessina 1 H g mili 1 Hg levonorgest-eth est & eth est NF B MINASTRIN 24 FE NFg levonorgest-eth estrad 91-day oral 4 B MINIVELLE NF QL

tablet 0.1-0.02 & 0.01 mgB MIRCETTE NF

g levonorgest-eth estrad 91-day oral 3g mono-linyah 1 Htablet 0.15-0.03 &0.01 mgB NATAZIA 2g levonorgest-eth estrad 91-day oral 2 Hgtablet 0.15-0.03 mg necon 0.5/35 (28) 1 H

g glevonorgestrel-ethinyl estrad oral 1 H nikki NFtablet 0.1-20 mg-mcg, g nora-be 1 H0.15-30 mg-mcg

g norethin ace-eth estrad-fe oral NFg levora 0.15/30 (28) 1 H capsule


2929


g gnorethin ace-eth estrad-fe oral 1 H sharobel 1 Htablet g simliya 2

g norethin ace-eth estrad-fe oral NF g simpesse 3tablet chewable

g sprintec 28 1 Hg norethindrone acetate oral 1

g sronyx 1 Hg norethindrone acet-ethinyl est 2

g syeda NFg norethindrone oral 1 H

g tarina 24 fe 3g norgestimate-eth estradiol 1 H

g tarina fe 1/20 1 Hg norgestimate-ethinyl estradiol 2

g tarina fe 1/20 eq 1 Htriphasic oral tablet 0.18/0.215/ B TAYTULLA NF0.25 mg-25 mcggg tri femynor 1 Hnorgestimate-ethinyl estradiol 1 H

triphasic oral tablet 0.18/0.215/ g tri-estarylla 1 H0.25 mg-35 mcg

g tri-linyah 1 Hg norlyda 1 H g tri-lo-estarylla 2g norlyroc 1 H g tri-lo-marzia 2g nortrel 0.5/35 (28) 1 H g tri-lo-mili 2g nortrel 1/35 (21) 1 H g tri-lo-sprintec 2g nortrel 1/35 (28) 1 H g tri-mili 1 HB NUVARING 1 H g tri-nymyo 1 Hg nymyo 1 H g tri-previfem 1 Hg ocella NF g tri-sprintec 1 Hg orsythia 1 H g tri-vylibra 1 Hg philith 2 g tri-vylibra lo 2g pimtrea 2 g tulana 1 Hg pirmella 1/35 1 H g tyblume 1 Hg portia-28 1 H g tydemy NFB PREMARIN ORAL NF B VAGIFEM NFB PREMARIN VAGINAL 3 g vestura NFB PREMPHASE 3 g vienva 1 HB PREMPRO NF

g viorele 2g previfem 1 H B VIVELLE-DOT 2 QLg progesterone oral 2 g volnea 2B PROMETRIUM NF g vyfemla 2B PROVERA 4 g vylibra 1 HB QUARTETTE NF g wera 1 Hg reclipsen 1 H g xulane 3 Hg rivelsa NF

B YASMIN 28 2B SAFYRAL NF B YAZ 2B SEASONIQUE NF g yuvafem 2g setlakin 2 H


3030


g Bzafemy 3 H DDAVP PF NFg gzarah NF desmopressin acetate injection 1g gzumandimine NF desmopressin acetate oral 1

g desmopressin acetate pf 1Hormonal Agents - Oral SteroidsBB ALKINDI SPRINKLE NF PA GENOTROPIN NF PA, QL, SP

B BCORTEF 4 GENOTROPIN MINIQUICK NF PA, QL, SPB BDECADRON NF HUMATROPE NF PA, QL, SPB B NOCDURNA 3 PA, QLDEXABLISS NF

Bg dexamethasone intensol 1 NORDITROPIN FLEXPRO NF PA, QL, SPg Bdexamethasone oral elixir 1 NUTROPIN AQ NUSPIN 10 3 PA, QL, SPg B NUTROPIN AQ NUSPIN 20 3 PA, QL, SPdexamethasone oral solution 1

Bg dexamethasone oral tablet 1 NUTROPIN AQ NUSPIN 5 3 PA, QL, SPg Bdexamethasone oral tablet therapy 3 OMNITROPE NF PA, QL, SP

pack B ORIAHNN 4 PA, QLB DXEVO 11-DAY NF B ORILISSA 4 PA, QLB HEMADY NF B SOMATULINE DEPOT NF SPB HIDEX 6-DAY NF B STIMATE NFg hydrocortisone oral 1 B ZOMACTON NF PA, QL, SPB MEDROL ORAL TABLET 16 MG, 4 B ZOMACTON (FOR ZOMA-JET 10) NF PA, QL, SP

4 MG, 8 MGHormonal Agents - Testosterone Replacement

B MEDROL ORAL TABLET 2 MG 2B ANDRODERM 2 PA, QL

B MEDROL ORAL TABLET 32 MG 3B ANDROGEL NF PA, QL

B MEDROL ORAL TABLET THERAPY 4B ANDROGEL PUMP NF PA, QLPACKB DEPO-TESTOSTERONE 3g methylprednisolone oral 1

INTRAMUSCULAR SOLUTION B MILLIPRED 2 100 MG/MLB ORAPRED ODT 4 B DEPO-TESTOSTERONE 4B PEDIAPRED 2 INTRAMUSCULAR SOLUTION

200 MG/MLg prednisolone oral solution 1B FORTESTA NF PA, QLg prednisolone sodium phosphate 1Boral NATESTO NF PA, QL

g Bprednisone intensol 1 TESTIM 2 PA, QLg gprednisone oral 1 testosterone cypionate 1

intramuscularB RAYOS NFg testosterone transdermal NF PA, QLB TAPERDEX 12-DAY 3B VOGELXO NF PA, QLB TAPERDEX 6-DAY 4B VOGELXO PUMP NF PA, QLB TAPERDEX 7-DAY 3

Hormonal Agents - ThyroidB ZCORT 7-DAY NFB ARMOUR THYROID 3Hormonal Agents - OtherB CYTOMEL NFg cabergoline 2g euthyrox 1B DDAVP NF


3131


g Blevo-t 1 ENBREL SUBCUTANEOUS NF PA, ST, QL, SPSOLUTION PREFILLED SYRINGEB LEVOTHYROXINE SODIUM ORAL NF

BCAPSULE ENBREL SUBCUTANEOUS NF PA, ST, QL, SPSOLUTION RECONSTITUTEDg levothyroxine sodium oral tablet 1

B ENBREL SURECLICK NF PA, ST, QL, SPg levoxyl 2B ENVARSUS XR NFg liothyronine sodium oral 2B FIRAZYR 3 PA, QL, SPg methimazole oral 1g gengraf 1B NATURE-THROID 3B HAEGARDA 3 PA, QL, SPg np thyroid 1B HUMIRA 3 PA, QL, SPB SYNTHROID NFB HUMIRA PEDIATRIC CROHNS 3 PA, QL, SPB TAPAZOLE 4

STARTB THYQUIDITY NF PA

B HUMIRA PEN 3 PA, QL, SPB TIROSINT NF

B HUMIRA PEN-CD/UC/HS STARTER 3 PA, QL, SPB TIROSINT-SOL NF PA

B HUMIRA PEN-PEDIATRIC UC 3 PA, QL, SPg unithroid 1 STARTB WESTHROID 3 B HUMIRA PEN-PS/UV/ADOL HS 3 PA, QL, SPB WP THYROID 3 START

BImmunological Agents - Drugs for Immune System HUMIRA PEN-PSOR/UVEIT 3 PA, QL, SPStimulation or Suppression STARTER

B gACTEMRA ACTPEN 4 PA, ST, QL, SP icatibant acetate NF PA, QL, SPB BACTEMRA SUBCUTANEOUS 4 PA, ST, QL, SP IMURAN NFB gASTAGRAF XL NF methotrexate oral 1B gAZASAN 4 methotrexate sodium 1g gazathioprine oral 1 methotrexate sodium (pf) 1B gBERINERT 4 PA, ST, QL, SP mycophenolate mofetil oral 1B gCELLCEPT NF mycophenolate sodium 3B BCIMZIA PREFILLED KIT 3 PA, QL, SP MYFORTIC NFB BCIMZIA STARTER KIT 3 PA, QL, SP NEORAL NFB BCINRYZE NF PA, QL, SP OLUMIANT ORAL TABLET 1 MG 3 PA, QLB BCOSENTYX (300 MG DOSE) 4 PA, ST, QL, SP OLUMIANT ORAL TABLET 2 MG 3 PA, QL, SPB BCOSENTYX 150 MG/ML 4 PA, ST, QL, SP ORENCIA CLICKJECT 4 PA, ST, QL, SP

SUBCUTANEOUS SOLUTION B ORENCIA SUBCUTANEOUS 4 PA, ST, QL, SPPREFILLED SYRINGE 150 MG/ML

B OTEZLA 3 PA, QL, SPB COSENTYX SENSOREADY 4 PA, ST, QL, SP

B OTREXUP NF QL(300 MG)B PROGRAF ORAL CAPSULE 4B COSENTYX SENSOREADY PEN 4 PA, ST, QL, SPB PROGRAF ORAL PACKET 4 PAg cyclosporine modified 1B RAPAMUNE ORAL SOLUTION 4B ENBREL MINI NF PA, ST, QL, SPB RAPAMUNE ORAL TABLET NFB ENBREL SUBCUTANEOUS NF PA, ST, QLB RASUVO 2 QLSOLUTION


3232


B BREDITREX NF APRISO 2B BRINVOQ 3 PA, QL, SP ASACOL HD NFB BRUCONEST 4 PA, QL, SP AZULFIDINE 4B BSIMPONI 3 PA, QL, SP AZULFIDINE EN-TABS 4g gsirolimus oral solution 3 budesonide er NFg gsirolimus oral tablet 1 budesonide oral 2B BSKYRIZI (150 MG DOSE) 3 PA, QL, SP CANASA NFB BSTELARA SUBCUTANEOUS NF PA, SP CORTIFOAM 2

SOLUTION B DELZICOL NFB STELARA SUBCUTANEOUS 3 PA, QL, SP B DIPENTUM NF

SOLUTION PREFILLED SYRINGEB ENTOCORT EC NF

g tacrolimus oral 1g hydrocortisone ace-pramoxine 1

B TAKHZYRO 3 PA, QL, SP external cream 1-1 %B TREMFYA 3 PA, QL, SP g hydrocort-pramoxine (perianal) 1B TREXALL 2 B LIALDA NFB XELJANZ 3 PA, ST, QL, SP g mesalamine er oral capsule NFB XELJANZ XR 3 PA, ST, QL, SP 0.375 gm

gInfertility Agents mesalamine oral NFg gchorionic gonadotropin NF mesalamine rectal enema 1

intramuscular g mesalamine rectal suppository 2 QLB CRINONE 4 ST B ORTIKOS NFB ENDOMETRIN 2 B PENTASA NFB FOLLISTIM AQ 2 B PROCORT NFg ganirelix acetate solution 4 (Ferring), QL, SP B PROCTOFOAM HC 2

prefilled syringe 250 mcg/0.5ml B SFROWASA NFsubcutaneousg sulfasalazine oral 1g ganirelix acetate solution 2 (Merck/ B UCERIS ORAL NFprefilled syringe 250 mcg/0.5ml Organon), QL,

subcutaneous SP B UCERIS RECTAL 2g novarel intramuscular solution 1 Metabolic Bone Disease Agents - Drugs for Osteoporosis

reconstituted 10000 unit g alendronate sodium 1B NOVAREL INTRAMUSCULAR 3

B BINOSTO NF QLSOLUTION RECONSTITUTED 5000 B BONIVA NFUNITgB calcitriol oral 1OVIDREL NFBg FOSAMAX 4pregnyl 1g ibandronate sodium oral 2Inflammatory Bowel Disease AgentsB RAYALDEE NFB ANALPRAM HC 4BB ROCALTROL 4ANALPRAM HC SINGLES 4BB TERIPARATIDE (RECOMBINANT) NF PA, SPANALPRAM-HC EXTERNAL 4BCREAM TYMLOS NF PA, SP

B ANALPRAM-HC EXTERNAL 3LOTION


3333


g olopatadine hcl ophthalmic solution NFOphthalmic Agents - Drugs for Eye Allergy, Infection and 0.2 %Inflammation

gB ACULAR 4 polymyxin b-trimethoprim 1B B POLYTRIM 4ACULAR LS 4

BB PRED FORTE NFACUVAIL NFBB ALREX 4 QL PRED MILD 3

B g prednisolone acetate ophthalmic 1AZASITE 3Bg TOBRADEX OPHTHALMIC 4azelastine hcl ophthalmic 1

SUSPENSIONB BESIVANCE 3TOBRADEX ST NFB CILOXAN OPHTHALMIC 4

g tobramycin ophthalmic 1 QLSOLUTIONg g tobramycin-dexamethasone 2ciprofloxacin hcl ophthalmic 1

Bg TOBREX OPHTHALMIC OINTMENT 3 QLerythromycin ophthalmic 1 H-PABB EYSUVIS NF QL TOBREX OPHTHALMIC SOLUTION 4 QL

B B VIGAMOX NFILEVRO NFBB ZYLET 3INVELTYS 3

g ketorolac tromethamine ophthalmic 1 Ophthalmic Agents - Drugs for GlaucomaB B ALPHAGAN P OPHTHALMIC 2 QLLASTACAFT 3 QL

SOLUTION 0.1 %B LOTEMAX OPHTHALMIC 3B ALPHAGAN P OPHTHALMIC 4 QLOINTMENT

SOLUTION 0.15 %B LOTEMAX OPHTHALMIC NF QLBSUSPENSION AZOPT 4 QL

B BLOTEMAX SM 3 QL BETIMOL 2 QLg g bimatoprost external NF QLloteprednol etabonate ophthalmic NF

gel g bimatoprost ophthalmic NF QLg loteprednol etabonate ophthalmic 3 QL g brimonidine tartrate ophthalmic 2 QL

suspension solution 0.15 %B MAXITROL 4 g brimonidine tartrate ophthalmic 1B solution 0.2 %MOXEZA 4

gg brinzolamide 2 QLmoxifloxacin hcl (2x day) 3Bg moxifloxacin hcl ophthalmic 3 COMBIGAN 2 QL

solution B COSOPT 4g neomycin-polymyxin-dexameth 1 B COSOPT PF NF QL

ophthalmic ointmentg dorzolamide hcl-timolol mal 2

g neomycin-polymyxin-dexameth 1g dorzolamide hcl-timolol mal pf NF QLophthalmic suspension B ISTALOL 43.5-10000-0.1gB latanoprost ophthalmic 1NEVANAC 4BB LUMIGAN 2OCUFLOX 4Bg RHOPRESSA 3 QLofloxacin ophthalmic 1Bg ROCKLATAN 3 QLolopatadine hcl ophthalmic solution 3

0.1 %


3434


g gtimolol maleate ophthalmic gel 1 epinephrine solution auto-injector 2 QLforming solution 0.3 mg/0.3ml injection

g Btimolol maleate ophthalmic solution 1 EPIPEN 2-PAK NF QL0.25 %, 0.5 % B EPIPEN JR 2-PAK NF QL

g timolol maleate ophthalmic solution 3 B SYMJEPI 2 QL0.5 % (daily)

Respiratory Tract / Pulmonary Agents - Drugs for g timolol maleate pf 2 Allergies, Cough, ColdB TIMOPTIC 4 g azelastine hcl nasal solution 0.1 %, 3B TIMOPTIC OCUDOSE 2 137 mcg/spray

OPHTHALMIC SOLUTION 0.25 % g azelastine hcl nasal solution 0.15 % NFB TIMOPTIC OCUDOSE 4 g benzonatate oral capsule 100 mg, 1

OPHTHALMIC SOLUTION 0.5 % 200 mgB TIMOPTIC-XE 4 g benzonatate oral capsule 150 mg NFB TRAVATAN Z NF QL g cyproheptadine hcl oral 1g travoprost (bak free) NF QL g fluticasone propionate nasal 2 QLB VYZULTA NF ST, QL g hydrocodone polst-chlorphen polst NF PA, QLB XALATAN NF er suspB gXELPROS 3 QL ipratropium bromide nasal 1B gZIOPTAN 3 ST, QL levocetirizine dihydrochloride oral 3

solutionOphthalmic Agents - Drugs for Miscellaneous Eye gConditions levocetirizine dihydrochloride oral 1

tabletB CEQUA NF PA, QLB OMNARIS NF QLB FLAREX 2g promethazine hcl oral solution 1B RESTASIS NF PA, QLg promethazine hcl oral syrup 1B RESTASIS MULTIDOSE NF PA, QLg promethazine-codeine 1 PA, QLB XIIDRA NF PA, QLg promethazine-dm 1Otic Agents - Drugs for Ear Conditionsg pseudoephedrine-bromphen-dm 1B CIPRODEX NF STB TESSALON PERLES 4g ciprofloxacin-dexamethasone NF STB TUSSICAPS 4 PA, QLg neomycin-polymyxin-hc otic 1B XHANCE NF QLg ofloxacin otic 2B ZETONNA 3 QLRespiratory - Drugs for Anaphylaxis

Respiratory Tract / Pulmonary Agents - Drugs for B AUVI-Q NF QLAsthma and COPD

g epinephrine injection solution auto- NF QLB ADVAIR DISKUS 3 QLinjector 0.15 mg/0.15mlB ADVAIR HFA 3 QLg epinephrine solution auto-injector NF QLB0.15 mg/0.3ml injection AIRDUO RESPICLICK 113/14 NF QL

g Bepinephrine solution auto-injector 2 QL AIRDUO RESPICLICK 232/14 NF QL0.15 mg/0.3ml injection B AIRDUO RESPICLICK 55/14 NF QL

g epinephrine solution auto-injector NF QL g albuterol sulfate hfa aerosol solution 4 (ProAir HFA or 0.3 mg/0.3ml injection 108 (90 base) mcg/act inhalation Proventil HFA),

QL


3535


B gALBUTEROL SULFATE HFA NF (ProAir HFA or montelukast sodium oral tablet 1AEROSOL SOLUTION 108 (90 Proventil HFA), chewableBASE) MCG/ACT INHALATION QL B NUCALA SUBCUTANEOUS 4 PA, QL, SP

g albuterol sulfate inhalation 1 SOLUTION AUTO-INJECTORg Balbuterol sulfate oral syrup 1 NUCALA SUBCUTANEOUS 4 PA, QL, SP

SOLUTION PREFILLED SYRINGEg albuterol sulfate oral tablet 3 PAB PERFOROMIST NF QLB ALVESCO NF QLB PROAIR HFA NF QLB ANORO ELLIPTA 3 QLB PROAIR RESPICLICK NF QLB ARNUITY ELLIPTA 2 QLB PROVENTIL HFA NF QLB ASMANEX (120 METERED DOSES) NF QLB PULMICORT FLEXHALER 2 QLB ASMANEX (14 METERED DOSES) NF QLB PULMICORT SUSPENSION NF QLB ASMANEX (30 METERED DOSES) NF QLB QVAR REDIHALER NF QLB ASMANEX (60 METERED DOSES) NF QLB SEREVENT DISKUS 2 QLB ASMANEX (7 METERED DOSES) NF QLB SINGULAIR ORAL PACKET 3B ASMANEX HFA NF QLB SINGULAIR ORAL TABLET NFB ATROVENT HFA 3 QLB SINGULAIR ORAL TABLET NFB BEVESPI AEROSPHERE 2 QL

CHEWABLEB BREO ELLIPTA 3 QL

B SPIRIVA HANDIHALER 2 QLB BREZTRI AEROSPHERE 3 QL

B SPIRIVA RESPIMAT 2 QLg budesonide inhalation 2 QL

B STRIVERDI RESPIMAT 2 QLB BUDESONIDE-FORMOTEROL NF QL

B SYMBICORT 3 QLFUMARATEB TRELEGY ELLIPTA 3 QLB COMBIVENT RESPIMAT 4 QLB VENTOLIN HFA NF QLB FASENRA PEN 4 PA, QLg wixela inhub NF QLB FLOVENT DISKUS 2 QLB XOPENEX HFA NF QLB FLOVENT HFA 2 QLB YUPELRI 4 PA, QLg fluticasone-salmeterol inhalation NF QL

aerosol powder breath activated Respiratory Tract / Pulmonary Agents - Drugs for Cystic 100-50 mcg/dose, 250-50 mcg/ Fibrosisdose, 500-50 mcg/dose B BETHKIS NF PA, QL, SP

B FLUTICASONE-SALMETEROL 2 QL B BRONCHITOL NF PA, ST, QL, SPINHALATION AEROSOL POWDER

B KITABIS PAK NF PA, QL, SPBREATH ACTIVATED 113-14 MCG/B PULMOZYME 3 PA, QL, SPACT, 232-14 MCG/ACT, 55-14 MCG/

ACT B TOBI NEBULIZER NF PA, QL, SPB INCRUSE ELLIPTA NF QL B TOBI PODHALER NF PA, QL, SPg ipratropium-albuterol 2 g tobramycin inhalation nebulization 3 PA, QL, SPB solution 300 mg/4mlLEVALBUTEROL HFA INHALATION NF QL

AEROSOL 45 MCG/ACT g tobramycin nebulization solution NF PA, QL, SPg 300 mg/5ml inhalationmontelukast sodium oral packet 2

Bg TOBRAMYCIN NEBULIZATION NF PA, QL, SPmontelukast sodium oral tablet 1SOLUTION 300 MG/5ML INHALATION


3636


B PROVIGIL NF PA, QLRespiratory Tract / Pulmonary Agents - Drugs for Pulmonary Hypertension B RESTORIL 4

B ADEMPAS 3 PA, QL, SP B SUNOSI 3 PA, QLg bosentan 3 PA, QL, SP g temazepam 1B OPSUMIT 3 PA, QL, SP B WAKIX 4 PA, QL, SPB TRACLEER 32 MG 2 PA, QL, SP B XYREM NF PA, QL, SPB TRACLEER 62.5 MG, 125 MG 3 PA, QL, SP B XYWAV NF PA, QL, SPB TYVASO 3 PA, SP g zolpidem tartrate er 3 QLB TYVASO REFILL 3 PA, SP g zolpidem tartrate oral 1 QLB TYVASO STARTER 3 PA, SP g zolpidem tartrate sublingual NF QL

Skeletal Muscle Relaxants - Drugs for Muscle Pain and B ZOLPIMIST 4 ST, QLSpasm

B AMRIX NFg baclofen oral 1g carisoprodol oral tablet 250 mg NFg carisoprodol oral tablet 350 mg 1g cyclobenzaprine hcl er NFg cyclobenzaprine hcl oral tablet 1

10 mg, 5 mgg cyclobenzaprine hcl oral tablet NF

7.5 mgB FEXMID NFg metaxalone 3g methocarbamol oral 1B OZOBAX 4 PAB SKELAXIN NFB SOMA NFg tizanidine hcl oral capsule 3g tizanidine hcl oral tablet 1B VANADOM NFB ZANAFLEX 4

Sleep Disorder AgentsB AMBIEN NF QLB AMBIEN CR NF QLB BELSOMRA NF ST, QLB DAYVIGO NF ST, QLB EDLUAR NF QLg eszopiclone 2 QLB LUNESTA NF QLg modafinil 2 PA, QL


3737

Indexalyacen 1/35 . . . . . . . . . . . . . . . . . . . . . 27A AFSTYLA INTRAVENOUS KIT 1000

UNIT, 2000 UNIT, 250 UNIT, 3000 AMARYL . . . . . . . . . . . . . . . . . . . . . . . . 24ABILIFY . . . . . . . . . . . . . . . . . . . . . . . . 15 UNIT, 500 UNIT . . . . . . . . . . . . . . . . . . 25 AMBIEN . . . . . . . . . . . . . . . . . . . . . . . . 37ABSORICA . . . . . . . . . . . . . . . . . . . . . . 20 AFSTYLA INTRAVENOUS KIT 1500 AMBIEN CR . . . . . . . . . . . . . . . . . . . . . 37UNIT, 2500 UNIT . . . . . . . . . . . . . . . . . 25ACCU-CHEK FASTCLIX LANCET

AMERGE . . . . . . . . . . . . . . . . . . . . . . . 13KIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 AIMOVIG SUBCUTANEOUS amethia . . . . . . . . . . . . . . . . . . . . . . . . . 27SOLUTION AUTO-INJECTOR ACCU-CHEK FASTCLIX LANCETS . . 23

140 MG/ML, 70 MG/ML . . . . . . . . . . . 13 amiodarone hcl oral . . . . . . . . . . . . . . 16accu-chek guide kit w/device . . . . . . . 23AIRDUO RESPICLICK 113/14 . . . . . . 35 amitriptyline hcl oral . . . . . . . . . . . . . . 12ACCU-CHEK GUIDE TEST STRIPS . . 23AIRDUO RESPICLICK 232/14 . . . . . . 35 amlodipine besylate oral . . . . . . . . . . . 16ACCU-CHEK SOFTCLIX LANCET AIRDUO RESPICLICK 55/14 . . . . . . . 35 amlodipine besylate-benazepril hcl . . 16DEVICE KIT . . . . . . . . . . . . . . . . . . . . . 23ALA SCALP . . . . . . . . . . . . . . . . . . . . . 20 amlodipine besylate-valsartan . . . . . . 16ACCU-CHEK SOFTXLIX LANCETS . . 23ala-cort external cream 1 % . . . . . . . . 20 amnesteem . . . . . . . . . . . . . . . . . . . . . 20ACCUPRIL . . . . . . . . . . . . . . . . . . . . . . 16ala-cort external cream 2.5 % . . . . . . 20 amoxicillin . . . . . . . . . . . . . . . . . . . . . . . 10accutane . . . . . . . . . . . . . . . . . . . . . . . . 20albuterol sulfate hfa aerosol amoxicillin-potassium clavulanate acetaminophen-codeine . . . . . . . . . . . . 8solution 108 (90 base) mcg/act er . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10acetaminophen-codeine #2 . . . . . . . . . 8inhalation . . . . . . . . . . . . . . . . . . . . 35, 36 amoxicillin-potassium clavulanate acetaminophen-codeine #3 . . . . . . . . . 8albuterol sulfate inhalation . . . . . . . . . 36 oral . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

acetaminophen-codeine #4 . . . . . . . . . 8albuterol sulfate oral syrup . . . . . . . . . 36 amphetamine-dextroamphetamine . . 19

acetazolamide er . . . . . . . . . . . . . . . . . 16albuterol sulfate oral tablet . . . . . . . . . 36 amphetamine-dextroamphetamine

acetazolamide oral . . . . . . . . . . . . . . . 16 er . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19ALDACTONE . . . . . . . . . . . . . . . . . . . . 16ACIPHEX . . . . . . . . . . . . . . . . . . . . . . . 26 AMPYRA . . . . . . . . . . . . . . . . . . . . . . . 19ALDARA . . . . . . . . . . . . . . . . . . . . . . . . 20ACIPHEX SPRINKLE . . . . . . . . . . . . . . 26 AMRIX . . . . . . . . . . . . . . . . . . . . . . . . . . 37ALECENSA . . . . . . . . . . . . . . . . . . . . . . 14ACTEMRA ACTPEN . . . . . . . . . . . . . . 32 AMZEEQ . . . . . . . . . . . . . . . . . . . . . . . . 20alendronate sodium . . . . . . . . . . . . . . 33ACTEMRA SUBCUTANEOUS . . . . . . 32 ANALPRAM HC . . . . . . . . . . . . . . . . . . 33alfuzosin hcl er . . . . . . . . . . . . . . . . . . . 27ACTICLATE . . . . . . . . . . . . . . . . . . . . . 10 ANALPRAM HC SINGLES . . . . . . . . . 33aliskiren fumarate . . . . . . . . . . . . . . . . 16ACTOS . . . . . . . . . . . . . . . . . . . . . . . . . 24 ANALPRAM-HC EXTERNAL ALKINDI SPRINKLE . . . . . . . . . . . . . . 31ACULAR . . . . . . . . . . . . . . . . . . . . . . . . 34 CREAM . . . . . . . . . . . . . . . . . . . . . . . . . 33allopurinol oral . . . . . . . . . . . . . . . . . . . 13ACULAR LS . . . . . . . . . . . . . . . . . . . . . 34 ANALPRAM-HC EXTERNAL ALOGLIPTIN BENZOATE . . . . . . . . . . 24 LOTION . . . . . . . . . . . . . . . . . . . . . . . . . 33ACUVAIL . . . . . . . . . . . . . . . . . . . . . . . . 34

ALOGLIPTIN-METFORMIN HCL . . . . 24 ANASPAZ . . . . . . . . . . . . . . . . . . . . . . . 26acyclovir oral . . . . . . . . . . . . . . . . . . . . 15ALOGLIPTIN-PIOGLITAZONE . . . . . . 24 anastrozole oral . . . . . . . . . . . . . . . . . . 14ACZONE . . . . . . . . . . . . . . . . . . . . . . . . 20ALORA . . . . . . . . . . . . . . . . . . . . . . . . . 27 ANDRODERM . . . . . . . . . . . . . . . . . . . 31ADDERALL . . . . . . . . . . . . . . . . . . . . . 19ALPHAGAN P OPHTHALMIC ANDROGEL . . . . . . . . . . . . . . . . . . . . . 31ADDERALL XR . . . . . . . . . . . . . . . . . . 19 SOLUTION 0.1 % . . . . . . . . . . . . . . . . . 34

ANDROGEL PUMP . . . . . . . . . . . . . . . 31ADDYI . . . . . . . . . . . . . . . . . . . . . . . . . . 25 ALPHAGAN P OPHTHALMIC ANORO ELLIPTA . . . . . . . . . . . . . . . . . 36ADEMPAS . . . . . . . . . . . . . . . . . . . . . . 37 SOLUTION 0.15 % . . . . . . . . . . . . . . . . 34apap-caff-dihydrocodeine oral ADHANSIA XR . . . . . . . . . . . . . . . . . . . 19 ALPHANATE . . . . . . . . . . . . . . . . . . . . 25capsule . . . . . . . . . . . . . . . . . . . . . . . . . . 8ADLYXIN . . . . . . . . . . . . . . . . . . . . . . . . 24 alprazolam er . . . . . . . . . . . . . . . . . . . . 16apap-caff-dihydrocodeine oral ADLYXIN STARTER PACK . . . . . . . . . 24 alprazolam intensol . . . . . . . . . . . . . . . 16 tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

ADMELOG . . . . . . . . . . . . . . . . . . . . . . 23 alprazolam oral . . . . . . . . . . . . . . . . . . 16 APOKYN . . . . . . . . . . . . . . . . . . . . . . . . 14ADMELOG SOLOSTAR . . . . . . . . . . . . 23 alprazolam xr . . . . . . . . . . . . . . . . . . . . 16 apri . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27ADVAIR DISKUS . . . . . . . . . . . . . . . . . 35 ALREX . . . . . . . . . . . . . . . . . . . . . . . . . 34 APRISO . . . . . . . . . . . . . . . . . . . . . . . . 33ADVAIR HFA . . . . . . . . . . . . . . . . . . . . . 35 ALTACE . . . . . . . . . . . . . . . . . . . . . . . . . 16 APTENSIO XR . . . . . . . . . . . . . . . . . . . 19ADVATE . . . . . . . . . . . . . . . . . . . . . . . . 25 altavera . . . . . . . . . . . . . . . . . . . . . . . . . 27 ARAKODA . . . . . . . . . . . . . . . . . . . . . . 14ADYNOVATE . . . . . . . . . . . . . . . . . . . . 25 ALTOPREV . . . . . . . . . . . . . . . . . . . . . . 16 ARANESP (ALBUMIN FREE) . . . . . . . 25afirmelle . . . . . . . . . . . . . . . . . . . . . . . . 27 ALTRENO . . . . . . . . . . . . . . . . . . . . . . . 20 ARICEPT . . . . . . . . . . . . . . . . . . . . . . . 12AFREZZA . . . . . . . . . . . . . . . . . . . . . . . 23 ALUNBRIG . . . . . . . . . . . . . . . . . . . . . . 14 ARIMIDEX . . . . . . . . . . . . . . . . . . . . . . 14

ALVESCO . . . . . . . . . . . . . . . . . . . . . . . 36 aripiprazole oral solution . . . . . . . . . . 15

38

aripiprazole oral tablet . . . . . . . . . . . . 15 AVONEX PEN . . . . . . . . . . . . . . . . . . . . 19 betamethasone dipropionate aug external lotion . . . . . . . . . . . . . . . . . . . 20aripiprazole oral tablet dispersible . . 15 AVONEX PREFILLED . . . . . . . . . . . . . 19betamethasone dipropionate aug ARMOUR THYROID . . . . . . . . . . . . . . 31 AYGESTIN . . . . . . . . . . . . . . . . . . . . . . 28external ointment . . . . . . . . . . . . . . . . . 20ARNUITY ELLIPTA . . . . . . . . . . . . . . . 36 ayuna . . . . . . . . . . . . . . . . . . . . . . . . . . 28betamethasone dipropionate ASACOL HD . . . . . . . . . . . . . . . . . . . . . 33 AZASAN . . . . . . . . . . . . . . . . . . . . . . . . 32 external cream . . . . . . . . . . . . . . . . . . . 20

asenapine maleate . . . . . . . . . . . . . . . 15 AZASITE . . . . . . . . . . . . . . . . . . . . . . . . 34 betamethasone dipropionate ashlyna . . . . . . . . . . . . . . . . . . . . . . . . . 27 azathioprine oral . . . . . . . . . . . . . . . . . 32 external lotion . . . . . . . . . . . . . . . . . . . 20ASMANEX (120 METERED DOSES) . 36 azelaic acid external . . . . . . . . . . . . . . 20 betamethasone dipropionate ASMANEX (14 METERED DOSES) . . 36 azelastine hcl nasal solution 0.1 %, external ointment . . . . . . . . . . . . . . . . . 20

137 mcg/spray . . . . . . . . . . . . . . . . . . . 35ASMANEX (30 METERED DOSES) . . 36 BETAPACE . . . . . . . . . . . . . . . . . . . . . . 16azelastine hcl nasal solution 0.15 % . . 35ASMANEX (60 METERED DOSES) . . 36 BETASERON . . . . . . . . . . . . . . . . . . . . 19azelastine hcl ophthalmic . . . . . . . . . . 34ASMANEX (7 METERED DOSES) . . . 36 BETHKIS . . . . . . . . . . . . . . . . . . . . . . . 36azithromycin oral . . . . . . . . . . . . . . . . . 10ASMANEX HFA . . . . . . . . . . . . . . . . . . 36 BETIMOL . . . . . . . . . . . . . . . . . . . . . . . 34AZOPT . . . . . . . . . . . . . . . . . . . . . . . . . 34ASTAGRAF XL . . . . . . . . . . . . . . . . . . . 32 BEVESPI AEROSPHERE . . . . . . . . . . 36AZULFIDINE . . . . . . . . . . . . . . . . . . . . . 33atenolol oral . . . . . . . . . . . . . . . . . . . . . 16 bexarotene . . . . . . . . . . . . . . . . . . . . . . 14AZULFIDINE EN-TABS . . . . . . . . . . . . 33 BEYAZ . . . . . . . . . . . . . . . . . . . . . . . . . 28atenolol-chlorthalidone . . . . . . . . . . . . 16azurette . . . . . . . . . . . . . . . . . . . . . . . . . 28ATIVAN ORAL . . . . . . . . . . . . . . . . . . . 16 BIDIL . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

atomoxetine hcl . . . . . . . . . . . . . . . . . . 19 BIJUVA . . . . . . . . . . . . . . . . . . . . . . . . . 28atorvastatin calcium oral tablet bimatoprost external . . . . . . . . . . . . . . 34B10 mg, 20 mg . . . . . . . . . . . . . . . . . . . . 16 bimatoprost ophthalmic . . . . . . . . . . . 34

bac . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8atorvastatin calcium oral tablet BINOSTO . . . . . . . . . . . . . . . . . . . . . . . 33baclofen oral . . . . . . . . . . . . . . . . . . . . 3740 mg, 80 mg . . . . . . . . . . . . . . . . . . . . 16 bisoprolol fumarate oral . . . . . . . . . . . 16BACTRIM . . . . . . . . . . . . . . . . . . . . . . . 10atovaquone-proguanil hcl . . . . . . . . . . 14 bisoprolol-hydrochlorothiazide . . . . . 16BACTRIM DS . . . . . . . . . . . . . . . . . . . . 10ATRALIN . . . . . . . . . . . . . . . . . . . . . . . . 20 blisovi 24 fe . . . . . . . . . . . . . . . . . . . . . 28BAFIERTAM . . . . . . . . . . . . . . . . . . . . . 19ATRIPLA . . . . . . . . . . . . . . . . . . . . . . . . 15 blisovi fe 1/20 . . . . . . . . . . . . . . . . . . . . 28balziva . . . . . . . . . . . . . . . . . . . . . . . . . . 28ATROVENT HFA . . . . . . . . . . . . . . . . . 36 blisovi fe 1.5/30 . . . . . . . . . . . . . . . . . . 28BAQSIMI ONE PACK . . . . . . . . . . . . . . 24AUBAGIO . . . . . . . . . . . . . . . . . . . . . . . 19 BONIVA . . . . . . . . . . . . . . . . . . . . . . . . 33BAQSIMI TWO PACK . . . . . . . . . . . . . 24aubra . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 BONJESTA . . . . . . . . . . . . . . . . . . . . . . 13BARACLUDE ORAL SOLUTION . . . . 15aubra eq . . . . . . . . . . . . . . . . . . . . . . . . 27 bosentan . . . . . . . . . . . . . . . . . . . . . . . 37BARACLUDE ORAL TABLET . . . . . . . 15AUGMENTIN . . . . . . . . . . . . . . . . . . . . 10 bp 10-1 . . . . . . . . . . . . . . . . . . . . . . . . . 20BASAGLAR KWIKPEN . . . . . . . . . . . . 23AUGMENTIN ES-600 . . . . . . . . . . . . . 10 BREO ELLIPTA . . . . . . . . . . . . . . . . . . 36bd autoshield duo pen needles . . . . . 23aurovela 1/20 . . . . . . . . . . . . . . . . . . . . 27 BREZTRI AEROSPHERE . . . . . . . . . . 36bd ultra-fine insulin syringes . . . . . . . . 23aurovela 1.5/30 . . . . . . . . . . . . . . . . . . 27 briellyn . . . . . . . . . . . . . . . . . . . . . . . . . 28bd ultra-fine pen needles . . . . . . . . . . 23aurovela 24 fe . . . . . . . . . . . . . . . . . . . . 27 BRILINTA . . . . . . . . . . . . . . . . . . . . . . . 15bekyree . . . . . . . . . . . . . . . . . . . . . . . . . 28aurovela fe 1/20 . . . . . . . . . . . . . . . . . . 27 brimonidine tartrate ophthalmic BELBUCA . . . . . . . . . . . . . . . . . . . . . . . . 8aurovela fe 1.5/30 . . . . . . . . . . . . . . . . 27 solution 0.15 % . . . . . . . . . . . . . . . . . . . 34BELSOMRA . . . . . . . . . . . . . . . . . . . . . 37AURYXIA . . . . . . . . . . . . . . . . . . . . . . . 27 brimonidine tartrate ophthalmic benazepril hcl oral . . . . . . . . . . . . . . . . 16AUSTEDO . . . . . . . . . . . . . . . . . . . . . . . 19 solution 0.2 % . . . . . . . . . . . . . . . . . . . . 34benazepril-hydrochlorothiazide . . . . . 16AUVI-Q . . . . . . . . . . . . . . . . . . . . . . . . . 35 brinzolamide . . . . . . . . . . . . . . . . . . . . 34BENICAR . . . . . . . . . . . . . . . . . . . . . . . 16 BRONCHITOL . . . . . . . . . . . . . . . . . . . 36AVALIDE . . . . . . . . . . . . . . . . . . . . . . . . 16BENICAR HCT . . . . . . . . . . . . . . . . . . . 16AVAPRO . . . . . . . . . . . . . . . . . . . . . . . . 16 budesonide er . . . . . . . . . . . . . . . . . . . 33benzonatate oral capsule 100 mg, AVAR CLEANSER . . . . . . . . . . . . . . . . 20 budesonide inhalation. . . . . . . . . . . . . 36200 mg . . . . . . . . . . . . . . . . . . . . . . . . . 35AVAR LS CLEANSER . . . . . . . . . . . . . 20 budesonide oral . . . . . . . . . . . . . . . . . . 33benzonatate oral capsule 150 mg . . . 35AVAR-E EMOLLIENT . . . . . . . . . . . . . . 20 BUDESONIDE-FORMOTEROL BERINERT . . . . . . . . . . . . . . . . . . . . . . 32 FUMARATE . . . . . . . . . . . . . . . . . . . . . 36AVAR-E GREEN . . . . . . . . . . . . . . . . . . 20BESIVANCE . . . . . . . . . . . . . . . . . . . . . 34 BUNAVAIL . . . . . . . . . . . . . . . . . . . . . . 10AVAR-E LS . . . . . . . . . . . . . . . . . . . . . . 20betamethasone dipropionate aug buprenorphine hcl sublingual . . . . . . 10aviane . . . . . . . . . . . . . . . . . . . . . . . . . . 28external cream . . . . . . . . . . . . . . . . . . . 20 buprenorphine hcl-naloxone hcl . . . . 10avidoxy . . . . . . . . . . . . . . . . . . . . . . . . . 10betamethasone dipropionate aug bupropion hcl er (sr) . . . . . . . . . . . . . . 12AVITA . . . . . . . . . . . . . . . . . . . . . . . . . . 20 external gel . . . . . . . . . . . . . . . . . . . . . . 20

39

bupropion hcl er (xl) oral tablet carisoprodol oral tablet 250 mg . . . . . 37 ciprofloxacin-dexamethasone . . . . . . 35extended release 24 hour 150 mg, carisoprodol oral tablet 350 mg . . . . . 37 citalopram hydrobromide . . . . . . . . . . 12300 mg . . . . . . . . . . . . . . . . . . . . . . . . . 12 CAROSPIR . . . . . . . . . . . . . . . . . . . . . . 17 claravis . . . . . . . . . . . . . . . . . . . . . . . . . 21BUPROPION HCL ER (XL) ORAL cartia xt . . . . . . . . . . . . . . . . . . . . . . . . . 17 clarithromycin er . . . . . . . . . . . . . . . . . 10TABLET EXTENDED RELEASE

carvedilol . . . . . . . . . . . . . . . . . . . . . . . 17 clarithromycin oral suspension 24 HOUR 450 MG . . . . . . . . . . . . . . . . 12reconstituted . . . . . . . . . . . . . . . . . . . . 10CATAFLAM . . . . . . . . . . . . . . . . . . . . . . . 9bupropion hcl oral . . . . . . . . . . . . . . . . 12clarithromycin oral tablet . . . . . . . . . . 10cavarest . . . . . . . . . . . . . . . . . . . . . . . . 20buspirone hcl oral . . . . . . . . . . . . . . . . 16CLENPIQ . . . . . . . . . . . . . . . . . . . . . . . 26cefadroxil . . . . . . . . . . . . . . . . . . . . . . . 10butalbital-apap-caffeine oral CLEOCIN ORAL CAPSULE capsule 50-300-40 mg . . . . . . . . . . . . . 8 cefdinir . . . . . . . . . . . . . . . . . . . . . . . . . 10150 MG, 300 MG . . . . . . . . . . . . . . . . . 10butalbital-apap-caffeine oral cefuroxime axetil . . . . . . . . . . . . . . . . . 10CLEOCIN ORAL CAPSULE 75 MG . . 10capsule 50-325-40 mg . . . . . . . . . . . . . 8 CELEBREX . . . . . . . . . . . . . . . . . . . . . . . 9CLEOCIN-T . . . . . . . . . . . . . . . . . . . . . . 21butalbital-apap-caffeine oral tablet . . . 8 celecoxib oral. . . . . . . . . . . . . . . . . . . . . 9CLIMARA . . . . . . . . . . . . . . . . . . . . . . . 28BYDUREON BCISE CELEXA . . . . . . . . . . . . . . . . . . . . . . . . 12

AUTOINJECTOR . . . . . . . . . . . . . . . . . 24 CLIMARA PRO . . . . . . . . . . . . . . . . . . 28CELLCEPT . . . . . . . . . . . . . . . . . . . . . . 32BYETTA 10 MCG PEN . . . . . . . . . . . . . 24 clindacin etz external swab . . . . . . . . 21CENTANY . . . . . . . . . . . . . . . . . . . . . . . 10BYETTA 5 MCG PEN . . . . . . . . . . . . . . 24 clindacin-p . . . . . . . . . . . . . . . . . . . . . . 21CENTANY AT . . . . . . . . . . . . . . . . . . . . 10BYSTOLIC . . . . . . . . . . . . . . . . . . . . . . 16 CLINDAGEL . . . . . . . . . . . . . . . . . . . . . 21cephalexin . . . . . . . . . . . . . . . . . . . . . . 10

clindamycin hcl oral . . . . . . . . . . . . . . 10CEQUA . . . . . . . . . . . . . . . . . . . . . . . . . 35clindamycin phos-benzoyl perox C CERDELGA . . . . . . . . . . . . . . . . . . . . . 27 external gel 1.2-5 % . . . . . . . . . . . . . . . 21

CHANTIX . . . . . . . . . . . . . . . . . . . . . . . 10cabergoline . . . . . . . . . . . . . . . . . . . . . 31 clindamycin phosphate external CHANTIX CONTINUING MONTH foam . . . . . . . . . . . . . . . . . . . . . . . . . . . 21CALAN SR ORAL TABLET PAK . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10EXTENDED RELEASE 120 MG, clindamycin phosphate external CHANTIX STARTING MONTH PAK . . 10180 MG . . . . . . . . . . . . . . . . . . . . . . . . . 16 lotion . . . . . . . . . . . . . . . . . . . . . . . . . . . 21charlotte 24 fe . . . . . . . . . . . . . . . . . . . 28calcipotriene-betameth diprop clindamycin phosphate external

external ointment . . . . . . . . . . . . . . . . . 20 chateal . . . . . . . . . . . . . . . . . . . . . . . . . 28 solution . . . . . . . . . . . . . . . . . . . . . . . . . 21calcipotriene-betameth diprop chateal eq . . . . . . . . . . . . . . . . . . . . . . . 28 clindamycin phosphate external external suspension . . . . . . . . . . . . . . 20 swab . . . . . . . . . . . . . . . . . . . . . . . . . . . 21chlorhexidine gluconate mouth/calcitriol external . . . . . . . . . . . . . . . . . 20 CLINDAMYCIN PHOSPHATE GEL throat. . . . . . . . . . . . . . . . . . . . . . . . . . . 20

1 % EXTERNAL . . . . . . . . . . . . . . . . . . 21calcitriol oral . . . . . . . . . . . . . . . . . . . . . 33 chlorthalidone . . . . . . . . . . . . . . . . . . . 17CLINDESSE . . . . . . . . . . . . . . . . . . . . . 10CALQUENCE . . . . . . . . . . . . . . . . . . . . 14 chorionic gonadotropin

intramuscular . . . . . . . . . . . . . . . . . . . . 33 CLINPRO 5000 . . . . . . . . . . . . . . . . . . 20camila . . . . . . . . . . . . . . . . . . . . . . . . . . 28CIALIS ORAL TABLET 10 MG, clobetasol propionate external camrese . . . . . . . . . . . . . . . . . . . . . . . . 2820 MG . . . . . . . . . . . . . . . . . . . . . . . . . . 25 cream . . . . . . . . . . . . . . . . . . . . . . . . . . 21camrese lo . . . . . . . . . . . . . . . . . . . . . . 28CIALIS ORAL TABLET 2.5 MG, clobetasol propionate external CANASA . . . . . . . . . . . . . . . . . . . . . . . . 335 MG . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 foam . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

capecitabine . . . . . . . . . . . . . . . . . . . . 14ciclodan . . . . . . . . . . . . . . . . . . . . . . . . 13 clobetasol propionate external gel . . 21

CAPEX . . . . . . . . . . . . . . . . . . . . . . . . . 20ciclopirox external gel . . . . . . . . . . . . . 13 clobetasol propionate external

CARAC . . . . . . . . . . . . . . . . . . . . . . . . . 20 liquid . . . . . . . . . . . . . . . . . . . . . . . . . . . 21ciclopirox external shampoo . . . . . . . 13CARAFATE . . . . . . . . . . . . . . . . . . . . . . 26 clobetasol propionate external ciclopirox external solution . . . . . . . . . 13carbamazepine er oral capsule lotion . . . . . . . . . . . . . . . . . . . . . . . . . . . 21ciclopirox treatment . . . . . . . . . . . . . . 13extended release 12 hour . . . . . . . . . . 11 clobetasol propionate external CILOXAN OPHTHALMIC carbamazepine er oral tablet ointment . . . . . . . . . . . . . . . . . . . . . . . . 21SOLUTION . . . . . . . . . . . . . . . . . . . . . . 34extended release 12 hour . . . . . . . . . . 11 clobetasol propionate external CIMDUO . . . . . . . . . . . . . . . . . . . . . . . . 15carbamazepine oral . . . . . . . . . . . . . . 11 shampoo . . . . . . . . . . . . . . . . . . . . . . . 21

CIMZIA PREFILLED KIT . . . . . . . . . . . 32CARBATROL . . . . . . . . . . . . . . . . . . . . 11 clobetasol propionate external CIMZIA STARTER KIT . . . . . . . . . . . . . 32 solution . . . . . . . . . . . . . . . . . . . . . . . . . 21carbidopa-levodopa . . . . . . . . . . . . . . 14CINRYZE . . . . . . . . . . . . . . . . . . . . . . . 32 CLOBEX . . . . . . . . . . . . . . . . . . . . . . . . 21carbidopa-levodopa er . . . . . . . . . . . . 14CIPRO ORAL TABLET . . . . . . . . . . . . 10 CLOBEX SPRAY . . . . . . . . . . . . . . . . . 21CARDIZEM . . . . . . . . . . . . . . . . . . . . . . 16CIPRODEX . . . . . . . . . . . . . . . . . . . . . . 35 clodan external shampoo . . . . . . . . . . 21CARDIZEM CD . . . . . . . . . . . . . . . . . . 16ciprofloxacin hcl ophthalmic . . . . . . . 34 clonazepam oral . . . . . . . . . . . . . . . . . 16CARDIZEM LA . . . . . . . . . . . . . . . . . . . 16ciprofloxacin hcl oral . . . . . . . . . . . . . . 10 clonidine hcl oral . . . . . . . . . . . . . . . . . 17CARDURA . . . . . . . . . . . . . . . . . . . . . . 16

40

clopidogrel bisulfate oral . . . . . . . . . . 15 cyclobenzaprine hcl oral tablet desogestrel-ethinyl estradiol oral 7.5 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 37 tablet 0.15-30 mg-mcg . . . . . . . . . . . . 28clotrimazole-betamethasone

external cream . . . . . . . . . . . . . . . . . . . 21 cyclosporine modified . . . . . . . . . . . . 32 DESONATE . . . . . . . . . . . . . . . . . . . . . 21clotrimazole-betamethasone CYMBALTA . . . . . . . . . . . . . . . . . . . . . . 12 desonide external cream . . . . . . . . . . 21external lotion . . . . . . . . . . . . . . . . . . . 21 cyproheptadine hcl oral . . . . . . . . . . . 35 desonide external gel . . . . . . . . . . . . . 21clovique . . . . . . . . . . . . . . . . . . . . . . . . 27 cyred . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 desonide external lotion . . . . . . . . . . . 21COLCHICINE ORAL CAPSULE . . . . . 13 cyred eq . . . . . . . . . . . . . . . . . . . . . . . . 28 desonide external ointment . . . . . . . . 21colchicine oral tablet . . . . . . . . . . . . . . 13 CYTOMEL . . . . . . . . . . . . . . . . . . . . . . 31 DESOWEN . . . . . . . . . . . . . . . . . . . . . . 21COLCRYS . . . . . . . . . . . . . . . . . . . . . . . 13 CYTOTEC . . . . . . . . . . . . . . . . . . . . . . . 26 desvenlafaxine succinate er . . . . . . . . 12colesevelam hcl . . . . . . . . . . . . . . . . . . 17 DEXABLISS . . . . . . . . . . . . . . . . . . . . . 31COMBIGAN . . . . . . . . . . . . . . . . . . . . . 34 dexamethasone intensol . . . . . . . . . . . 31DCOMBIVENT RESPIMAT . . . . . . . . . . 36 dexamethasone oral elixir . . . . . . . . . . 31

dalfampridine er. . . . . . . . . . . . . . . . . . 19CONCERTA . . . . . . . . . . . . . . . . . . . . . 19 dexamethasone oral solution . . . . . . . 31dapsone external gel 5 % . . . . . . . . . . 21CONTOUR NEXT EZ KIT dexamethasone oral tablet . . . . . . . . . 31

W/DEVICE . . . . . . . . . . . . . . . . . . . . . . 23 DAPSONE EXTERNAL GEL 7.5 % . . . 21 dexamethasone oral tablet therapy CONTOUR NEXT MONITOR KIT dasetta 1/35 . . . . . . . . . . . . . . . . . . . . . 28 pack . . . . . . . . . . . . . . . . . . . . . . . . . . . 31W/DEVICE . . . . . . . . . . . . . . . . . . . . . . 23 daysee . . . . . . . . . . . . . . . . . . . . . . . . . 28 DEXCOM G4 / G5 / G6 RECEIVER, CONTOUR NEXT ONE KIT . . . . . . . . . 23 TRANSMITTER, SENSOR DAYVIGO . . . . . . . . . . . . . . . . . . . . . . . 37CONTOUR NEXT TEST STRIPS . . . . 23 (INCLUDING PLATINUM, DDAVP . . . . . . . . . . . . . . . . . . . . . . . . . 31

PLATINUM PEDIATRIC) . . . . . . . . . . . 23CONZIP . . . . . . . . . . . . . . . . . . . . . . . . . 8 DDAVP PF . . . . . . . . . . . . . . . . . . . . . . 31DEXCOM G4 / G5 / G6 RECEIVER, COPAXONE . . . . . . . . . . . . . . . . . . . . . 19 deblitane . . . . . . . . . . . . . . . . . . . . . . . . 28 TRANSMITTER, SENSOR COREG . . . . . . . . . . . . . . . . . . . . . . . . . 17 DECADRON . . . . . . . . . . . . . . . . . . . . . 31 (INCLUDING PLATINUM,

coremino . . . . . . . . . . . . . . . . . . . . . . . 10 PLATINUM PEDIATRIC) DEVICE . . . . 23delyla . . . . . . . . . . . . . . . . . . . . . . . . . . 28CORGARD . . . . . . . . . . . . . . . . . . . . . . 17 DEXEDRINE . . . . . . . . . . . . . . . . . . . . . 19DELZICOL . . . . . . . . . . . . . . . . . . . . . . 33CORLANOR . . . . . . . . . . . . . . . . . . . . . 17 DEXILANT . . . . . . . . . . . . . . . . . . . . . . 26DENTA 5000 PLUS . . . . . . . . . . . . . . . 20CORTEF . . . . . . . . . . . . . . . . . . . . . . . . 31 dexmethylphenidate hcl . . . . . . . . . . . 19DENTAGEL . . . . . . . . . . . . . . . . . . . . . . 20CORTIFOAM . . . . . . . . . . . . . . . . . . . . 33 dexmethylphenidate hcl er . . . . . . . . . 19DEPAKOTE . . . . . . . . . . . . . . . . . . . . . . 11COSENTYX (300 MG DOSE) . . . . . . . 32 dextroamphetamine sulfate er . . . . . . 19DEPAKOTE ER . . . . . . . . . . . . . . . . . . . 11COSENTYX 150 MG/ML dextroamphetamine sulfate oral DEPAKOTE SPRINKLES . . . . . . . . . . . 11SUBCUTANEOUS SOLUTION solution . . . . . . . . . . . . . . . . . . . . . . . . . 19DEPEN TITRATABS . . . . . . . . . . . . . . . 27PREFILLED SYRINGE 150 MG/ML . . 32 dextroamphetamine sulfate oral DEPO-PROVERA COSENTYX SENSOREADY tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . 19INTRAMUSCULAR SUSPENSION . . 28(300 MG) . . . . . . . . . . . . . . . . . . . . . . . . 32 DIASTAT ACUDIAL . . . . . . . . . . . . . . . 11DEPO-PROVERA COSENTYX SENSOREADY PEN . . . . 32 DIASTAT PEDIATRIC . . . . . . . . . . . . . . 11INTRAMUSCULAR SUSPENSION COSOPT . . . . . . . . . . . . . . . . . . . . . . . . 34 PREFILLED SYRINGE . . . . . . . . . . . . . 28 diazepam intensol . . . . . . . . . . . . . . . . 16COSOPT PF . . . . . . . . . . . . . . . . . . . . . 34 DEPO-SUBQ PROVERA 104 . . . . . . . 28 diazepam oral . . . . . . . . . . . . . . . . . . . 16COZAAR . . . . . . . . . . . . . . . . . . . . . . . 17 DEPO-TESTOSTERONE diazepam rectal . . . . . . . . . . . . . . . . . . 11CREON . . . . . . . . . . . . . . . . . . . . . . . . . 27 INTRAMUSCULAR SOLUTION DICLEGIS . . . . . . . . . . . . . . . . . . . . . . . 13

100 MG/ML . . . . . . . . . . . . . . . . . . . . . 31CRESEMBA ORAL . . . . . . . . . . . . . . . 13 diclofenac potassium . . . . . . . . . . . . . . 9DEPO-TESTOSTERONE CRESTOR. . . . . . . . . . . . . . . . . . . . . . . 17 diclofenac sodium er . . . . . . . . . . . . . . . 9INTRAMUSCULAR SOLUTION CRINONE . . . . . . . . . . . . . . . . . . . . . . . 33 diclofenac sodium external gel 1 % . . . 9200 MG/ML . . . . . . . . . . . . . . . . . . . . . 31

cryselle-28 . . . . . . . . . . . . . . . . . . . . . . 28 diclofenac sodium external solution . . 9DERMA-SMOOTHE/FS BODY . . . . . . 21CUPRIMINE . . . . . . . . . . . . . . . . . . . . . 27 diclofenac sodium oral . . . . . . . . . . . . . 9DERMA-SMOOTHE/FS SCALP . . . . . 21cyanocobalamin injection solution dicyclomine hcl oral . . . . . . . . . . . . . . 26DESCOVY. . . . . . . . . . . . . . . . . . . . . . . 151000 mcg/ml . . . . . . . . . . . . . . . . . . . . 25

DIFICID . . . . . . . . . . . . . . . . . . . . . . . . . 10desmopressin acetate injection . . . . . 31CYANOCOBALAMIN INJECTION DIFLUCAN . . . . . . . . . . . . . . . . . . . . . . 13desmopressin acetate oral . . . . . . . . . 31SOLUTION 2000 MCG/ML. . . . . . . . . 25DILAUDID ORAL . . . . . . . . . . . . . . . . . . 8desmopressin acetate pf . . . . . . . . . . 31cyclafem 1/35 . . . . . . . . . . . . . . . . . . . 28dilt-xr . . . . . . . . . . . . . . . . . . . . . . . . . . . 17desogestrel-ethinyl estradiol oral cyclobenzaprine hcl er . . . . . . . . . . . . 37

tablet 0.15-0.02/0.01 mg (21/5) . . . . . 28 diltiazem hcl er . . . . . . . . . . . . . . . . . . . 17cyclobenzaprine hcl oral tablet 10 mg, 5 mg . . . . . . . . . . . . . . . . . . . . . 37 diltiazem hcl er coated beads . . . . . . 17

41

diltiazem hcl oral . . . . . . . . . . . . . . . . . 17 drospirenone-ethinyl estradiol . . . . . . 28 ENBREL SUBCUTANEOUS SOLUTION PREFILLED SYRINGE . . . 32DIOVAN . . . . . . . . . . . . . . . . . . . . . . . . 17 DUAVEE . . . . . . . . . . . . . . . . . . . . . . . . 28ENBREL SUBCUTANEOUS DIOVAN HCT . . . . . . . . . . . . . . . . . . . . 17 duloxetine hcl oral capsule delayed SOLUTION RECONSTITUTED . . . . . . 32release particles 20 mg, 30 mg, DIPENTUM . . . . . . . . . . . . . . . . . . . . . . 33

60 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ENBREL SURECLICK . . . . . . . . . . . . . 32diphenoxylate-atropine . . . . . . . . . . . . 26duloxetine hcl oral capsule delayed ENDARI . . . . . . . . . . . . . . . . . . . . . . . . . 27DIPROLENE . . . . . . . . . . . . . . . . . . . . . 21 release particles 40 mg . . . . . . . . . . . 12 endocet . . . . . . . . . . . . . . . . . . . . . . . . . 8DIPROLENE AF . . . . . . . . . . . . . . . . . . 21 DUOPA . . . . . . . . . . . . . . . . . . . . . . . . . 14 ENDOMETRIN . . . . . . . . . . . . . . . . . . . 33DITROPAN XL . . . . . . . . . . . . . . . . . . . 27 DUPIXENT . . . . . . . . . . . . . . . . . . . . . . 21 enoxaparin sodium . . . . . . . . . . . . . . . 11divalproex sodium er . . . . . . . . . . . . . . 11 DURAGESIC-100 . . . . . . . . . . . . . . . . . . 8 enskyce . . . . . . . . . . . . . . . . . . . . . . . . 28divalproex sodium oral capsule DURAGESIC-12 . . . . . . . . . . . . . . . . . . . 8 ENSTILAR . . . . . . . . . . . . . . . . . . . . . . 21delayed release sprinkle . . . . . . . . . . . 11DURAGESIC-25 . . . . . . . . . . . . . . . . . . . 8 entecavir . . . . . . . . . . . . . . . . . . . . . . . . 15divalproex sodium oral tablet DURAGESIC-50 . . . . . . . . . . . . . . . . . . . 8delayed release . . . . . . . . . . . . . . . . . . 11 ENTOCORT EC . . . . . . . . . . . . . . . . . . 33DURAGESIC-75 . . . . . . . . . . . . . . . . . . . 8DIVIGEL . . . . . . . . . . . . . . . . . . . . . . . . 28 ENVARSUS XR . . . . . . . . . . . . . . . . . . 32DUROLANE . . . . . . . . . . . . . . . . . . . . . . 9donepezil hcl oral tablet 10 mg, EPANED . . . . . . . . . . . . . . . . . . . . . . . . 17

5 mg . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 DXEVO 11-DAY . . . . . . . . . . . . . . . . . . . 31 EPCLUSA ORAL TABLET donepezil hcl oral tablet 23 mg . . . . . 12 200-50 MG . . . . . . . . . . . . . . . . . . . . . . 15donepezil hcl oral tablet dispersible . 12 EPCLUSA ORAL TABLET E

400-100 MG . . . . . . . . . . . . . . . . . . . . . 15DORYX . . . . . . . . . . . . . . . . . . . . . . . . . 10EC-NAPROSYN ORAL TABLET epinephrine injection solution auto-DORYX MPC . . . . . . . . . . . . . . . . . . . . 10DELAYED RELEASE 375 MG . . . . . . . . 9 injector 0.15 mg/0.15ml . . . . . . . . . . . . 35dorzolamide hcl-timolol mal . . . . . . . . 34EC-NAPROSYN ORAL TABLET epinephrine solution auto-injector dorzolamide hcl-timolol mal pf . . . . . . 34 DELAYED RELEASE 500 MG . . . . . . . . 9 0.15 mg/0.3ml injection . . . . . . . . . . . . 35

dotti . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 ec-naproxen . . . . . . . . . . . . . . . . . . . . . . 9 epinephrine solution auto-injector DOVATO . . . . . . . . . . . . . . . . . . . . . . . . 15 0.3 mg/0.3ml injection . . . . . . . . . . . . 35ED-SPAZ . . . . . . . . . . . . . . . . . . . . . . . 26doxazosin mesylate oral . . . . . . . . . . . 17 EPIPEN 2-PAK . . . . . . . . . . . . . . . . . . . 35EDARBI . . . . . . . . . . . . . . . . . . . . . . . . . 17doxepin hcl oral capsule . . . . . . . . . . . 12 EPIPEN JR 2-PAK . . . . . . . . . . . . . . . . 35EDARBYCLOR . . . . . . . . . . . . . . . . . . . 17doxepin hcl oral concentrate . . . . . . . 12 epitol . . . . . . . . . . . . . . . . . . . . . . . . . . . 11EDLUAR . . . . . . . . . . . . . . . . . . . . . . . . 37doxycycline hyclate oral capsule . . . . 10 ERGOCAL . . . . . . . . . . . . . . . . . . . . . . 25efavirenz-emtricitab-tenofovir . . . . . . . 15doxycycline hyclate oral tablet ergocalciferol oral capsule . . . . . . 25, 26efavirenz-lamivudine-tenofovir . . . . . . 15100 mg . . . . . . . . . . . . . . . . . . . . . . . . . 10 ERIVEDGE . . . . . . . . . . . . . . . . . . . . . . 14EFFEXOR XR . . . . . . . . . . . . . . . . . . . . 12doxycycline hyclate oral tablet ERLEADA . . . . . . . . . . . . . . . . . . . . . . . 14EFUDEX . . . . . . . . . . . . . . . . . . . . . . . . 21150 mg, 50 mg, 75 mg . . . . . . . . . . . . 10

errin . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28ELESTRIN . . . . . . . . . . . . . . . . . . . . . . . 28doxycycline hyclate oral tablet erythromycin ophthalmic . . . . . . . . . . 34eletriptan hydrobromide . . . . . . . . . . . 1320 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 10escitalopram oxalate oral solution . . . 12elinest . . . . . . . . . . . . . . . . . . . . . . . . . . 28doxycycline hyclate oral tablet

delayed release 100 mg, 150 mg, escitalopram oxalate oral tablet . . . . . 12ELIQUIS . . . . . . . . . . . . . . . . . . . . . . . . 11200 mg, 50 mg, 75 mg . . . . . . . . . . . . 10 ESGIC . . . . . . . . . . . . . . . . . . . . . . . . . . . 8ELIQUIS DVT/PE STARTER PACK. . . 11DOXYCYCLINE HYCLATE ORAL estarylla . . . . . . . . . . . . . . . . . . . . . . . . 28ELOCTATE . . . . . . . . . . . . . . . . . . . . . . 25TABLET DELAYED RELEASE ESTRACE . . . . . . . . . . . . . . . . . . . . . . . 28eluryng . . . . . . . . . . . . . . . . . . . . . . . . . 2880 MG . . . . . . . . . . . . . . . . . . . . . . . . . . 10

estradiol oral . . . . . . . . . . . . . . . . . . . . 28EMGALITY . . . . . . . . . . . . . . . . . . . . . . 13doxycycline monohydrate oral estradiol patch twice weekly EMGALITY (300 MG DOSE) . . . . . . . . 13capsule 100 mg, 50 mg . . . . . . . . . . . 100.025 mg/24hr transdermal . . . . . . . . 28emoquette . . . . . . . . . . . . . . . . . . . . . . 28doxycycline monohydrate oral estradiol patch twice weekly capsule 150 mg, 75 mg . . . . . . . . . . . . 10 emtricitabine-tenofovir df oral tablet 0.0375 mg/24hr transdermal . . . . . . . 28100-150 mg, 133-200 mg, doxycycline monohydrate oral estradiol patch twice weekly 167-250 mg . . . . . . . . . . . . . . . . . . . . . . 15suspension reconstituted . . . . . . . . . . 100.05 mg/24hr transdermal . . . . . . . . . 28emtricitabine-tenofovir df oral tablet doxycycline monohydrate oral estradiol patch twice weekly 200-300 mg . . . . . . . . . . . . . . . . . . . . . 15tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.075 mg/24hr transdermal . . . . . . . . 28enalapril maleate oral . . . . . . . . . . . . . 17doxylamine-pyridoxine . . . . . . . . . . . . 13estradiol patch twice weekly ENBREL MINI. . . . . . . . . . . . . . . . . . . . 32DRISDOL . . . . . . . . . . . . . . . . . . . . . . . 25 0.1 mg/24hr transdermal . . . . . . . . . . 28

ENBREL SUBCUTANEOUS DRIZALMA SPRINKLE . . . . . . . . . . . . 12 estradiol transdermal patch weekly . . 28SOLUTION . . . . . . . . . . . . . . . . . . . . . . 32drospiren-eth estrad-levomefol . . . . . 28

42

estradiol vaginal cream . . . . . . . . . . . . 28 flecainide acetate . . . . . . . . . . . . . . . . 17 FORFIVO XL . . . . . . . . . . . . . . . . . . . . . 12estradiol vaginal tablet . . . . . . . . . . . . 28 FLOLIPID . . . . . . . . . . . . . . . . . . . . . . . 17 FORTAMET . . . . . . . . . . . . . . . . . . . . . 24ESTRING . . . . . . . . . . . . . . . . . . . . . . . 28 FLOMAX . . . . . . . . . . . . . . . . . . . . . . . . 27 FORTESTA . . . . . . . . . . . . . . . . . . . . . . 31ESTROGEL . . . . . . . . . . . . . . . . . . . . . 28 FLORIVA PLUS . . . . . . . . . . . . . . . . . . 25 FOSAMAX . . . . . . . . . . . . . . . . . . . . . . 33eszopiclone . . . . . . . . . . . . . . . . . . . . . 37 FLOVENT DISKUS . . . . . . . . . . . . . . . . 36 FREESTYLE LIBRE 14 DAY

READER . . . . . . . . . . . . . . . . . . . . . . . . 23etodolac . . . . . . . . . . . . . . . . . . . . . . . . . 9 FLOVENT HFA . . . . . . . . . . . . . . . . . . . 36FREESTYLE LIBRE 14 DAY etodolac er . . . . . . . . . . . . . . . . . . . . . . . 9 fluconazole oral . . . . . . . . . . . . . . . . . . 13SENSOR . . . . . . . . . . . . . . . . . . . . . . . . 23etonogestrel-ethinyl estradiol . . . . . . . 28 fluocinolone acetonide body . . . . . . . 21FREESTYLE LIBRE 2 READER . . . . . 23EUCRISA . . . . . . . . . . . . . . . . . . . . . . . 21 fluocinolone acetonide external FREESTYLE LIBRE 2 SENSOR . . . . . 23cream . . . . . . . . . . . . . . . . . . . . . . . . . . 21EUFLEXXA . . . . . . . . . . . . . . . . . . . . . . . 9FREESTYLE LIBRE READER . . . . . . . 23fluocinolone acetonide external euthyrox . . . . . . . . . . . . . . . . . . . . . . . . 31

ointment . . . . . . . . . . . . . . . . . . . . . . . . 21 FREESTYLE LIBRE SENSOR EVAMIST . . . . . . . . . . . . . . . . . . . . . . . 28 SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . 23fluocinolone acetonide external EVOCLIN . . . . . . . . . . . . . . . . . . . . . . . 21 solution . . . . . . . . . . . . . . . . . . . . . . . . . 21 furosemide oral . . . . . . . . . . . . . . . . . . 17EXFORGE . . . . . . . . . . . . . . . . . . . . . . . 17 fluocinolone acetonide scalp . . . . . . . 21EXTAVIA . . . . . . . . . . . . . . . . . . . . . . . . 19 fluocinonide external cream 0.05 % . 21 GEXTINA . . . . . . . . . . . . . . . . . . . . . . . . . 13 fluocinonide external cream 0.1 % . . . 21EYSUVIS . . . . . . . . . . . . . . . . . . . . . . . . 34 gabapentin oral capsule . . . . . . . . . . . 11fluocinonide external gel . . . . . . . . . . 21EZALLOR SPRINKLE . . . . . . . . . . . . . 17 gabapentin oral solution fluocinonide external ointment . . . . . . 21

250 mg/5ml . . . . . . . . . . . . . . . . . . . . . 11ezetimibe . . . . . . . . . . . . . . . . . . . . . . . 17 fluocinonide external solution . . . . . . 21gabapentin oral tablet . . . . . . . . . . . . . 11ezetimibe-simvastatin . . . . . . . . . . . . . 17 FLUORIDEX . . . . . . . . . . . . . . . . . . . . . 20ganirelix acetate solution

FLUORIDEX ENHANCED prefilled syringe 250 mcg/0.5ml WHITENING . . . . . . . . . . . . . . . . . . . . . 20F subcutaneous . . . . . . . . . . . . . . . . . . . 33FLUOROPLEX . . . . . . . . . . . . . . . . . . . 21 gavilyte-c . . . . . . . . . . . . . . . . . . . . . . . 26falmina . . . . . . . . . . . . . . . . . . . . . . . . . 28FLUOROURACIL EXTERNAL gavilyte-g . . . . . . . . . . . . . . . . . . . . . . . 26FARXIGA . . . . . . . . . . . . . . . . . . . . . . . 24 CREAM 0.5 % . . . . . . . . . . . . . . . . . . . 21

GELNIQUE . . . . . . . . . . . . . . . . . . . . . . 27FASENRA PEN . . . . . . . . . . . . . . . . . . . 36 fluorouracil external cream 5 % . . . . . 21GELSYN-3 . . . . . . . . . . . . . . . . . . . . . . . 9fayosim . . . . . . . . . . . . . . . . . . . . . . . . . 28 fluorouracil external solution . . . . . . . 14gemfibrozil oral . . . . . . . . . . . . . . . . . . 17febuxostat . . . . . . . . . . . . . . . . . . . . . . 13 fluoxetine hcl oral capsule . . . . . . . . . 12gemmily . . . . . . . . . . . . . . . . . . . . . . . . 29FEMARA . . . . . . . . . . . . . . . . . . . . . . . . 14 fluoxetine hcl oral capsule delayed gengraf . . . . . . . . . . . . . . . . . . . . . . . . . 32femynor . . . . . . . . . . . . . . . . . . . . . . 28, 30 release . . . . . . . . . . . . . . . . . . . . . . . . . 12GENOTROPIN . . . . . . . . . . . . . . . . . . . 31fenofibrate oral capsule 150 mg, fluoxetine hcl oral solution . . . . . . . . . 12

50 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 17 GENOTROPIN MINIQUICK. . . . . . . . . 31fluoxetine hcl oral tablet 10 mg . . . . . 12fenofibrate oral tablet 120 mg, GENVOYA . . . . . . . . . . . . . . . . . . . . . . . 15fluoxetine hcl oral tablet 20 mg . . . . . 1240 mg, 48 mg . . . . . . . . . . . . . . . . . . . . 17 GEODON ORAL . . . . . . . . . . . . . . . . . 15fluoxetine hcl oral tablet 60 mg . . . . . 12fenofibrate oral tablet 145 mg, GILENYA . . . . . . . . . . . . . . . . . . . . . . . . 19fluticasone propionate nasal . . . . . . . 35160 mg, 54 mg . . . . . . . . . . . . . . . . . . . 17 GIMOTI . . . . . . . . . . . . . . . . . . . . . . . . . 13fluticasone-salmeterol inhalation FENOGLIDE . . . . . . . . . . . . . . . . . . . . . 17 glatiramer acetate . . . . . . . . . . . . . . . . 19aerosol powder breath activated fentanyl transdermal patch 72 hour 100-50 mcg/dose, 250-50 mcg/ glatopa . . . . . . . . . . . . . . . . . . . . . . . . . 19100 mcg/hr, 12 mcg/hr, 25 mcg/hr, dose, 500-50 mcg/dose . . . . . . . . . . . 36 GLEEVEC . . . . . . . . . . . . . . . . . . . . . . . 1450 mcg/hr, 75 mcg/hr . . . . . . . . . . . . . . 8

FLUTICASONE-SALMETEROL glimepiride . . . . . . . . . . . . . . . . . . . . . . 24fentanyl transdermal patch 72 hour INHALATION AEROSOL POWDER 37.5 mcg/hr, 62.5 mcg/hr, glipizide er . . . . . . . . . . . . . . . . . . . . . . 24BREATH ACTIVATED 113-14 MCG/87.5 mcg/hr . . . . . . . . . . . . . . . . . . . . . . 8 glipizide ir . . . . . . . . . . . . . . . . . . . . . . . 24ACT, 232-14 MCG/ACT, FEXMID . . . . . . . . . . . . . . . . . . . . . . . . . 37 55-14 MCG/ACT . . . . . . . . . . . . . . . . . 36 glipizide xl . . . . . . . . . . . . . . . . . . . . . . . 24FINACEA . . . . . . . . . . . . . . . . . . . . . . . 21 fluvoxamine maleate . . . . . . . . . . . . . . 12 GLOPERBA . . . . . . . . . . . . . . . . . . . . . 13finasteride oral tablet 5 mg . . . . . . . . . 27 fluvoxamine maleate er . . . . . . . . . . . . 12 GLUCAGON EMERGENCY KIT FIORICET . . . . . . . . . . . . . . . . . . . . . . . . 8 1 MG INJECTION 1 MG . . . . . . . . . . . 24FOCALIN . . . . . . . . . . . . . . . . . . . . . . . 19FIRAZYR . . . . . . . . . . . . . . . . . . . . . . . 32 GLUCOTROL XL . . . . . . . . . . . . . . . . . 24FOCALIN XR . . . . . . . . . . . . . . . . . . . . 19FIRST-OMEPRAZOLE . . . . . . . . . . . . . 26 GLUMETZA . . . . . . . . . . . . . . . . . . . . . 24folic acid oral tablet 1 mg . . . . . . . . . . 25FLAGYL . . . . . . . . . . . . . . . . . . . . . . . . 10 glyburide oral . . . . . . . . . . . . . . . . . . . . 24FOLLISTIM AQ . . . . . . . . . . . . . . . . . . . 33FLAREX . . . . . . . . . . . . . . . . . . . . . . . . 35 glyburide-metformin . . . . . . . . . . . . . . 24

43

GLYXAMBI . . . . . . . . . . . . . . . . . . . . . . 24 HUMULIN N VIAL . . . . . . . . . . . . . . . . 24 ibuprofen oral suspension . . . . . . . . . . 9GOLYTELY . . . . . . . . . . . . . . . . . . . . . . 26 HUMULIN R U-500 KWIKPEN . . . . . . 24 icatibant acetate . . . . . . . . . . . . . . . . . 32GONITRO . . . . . . . . . . . . . . . . . . . . . . . 17 HUMULIN R U-500 VIAL . . . . . . . . . . . 24 iclevia . . . . . . . . . . . . . . . . . . . . . . . . . . 29guanfacine hcl . . . . . . . . . . . . . . . . 17, 19 HUMULIN R VIAL . . . . . . . . . . . . . . . . 24 icosapent ethyl. . . . . . . . . . . . . . . . . . . 17guanfacine hcl er . . . . . . . . . . . . . . . . . 19 hydralazine hcl oral . . . . . . . . . . . . . . . 17 IDHIFA. . . . . . . . . . . . . . . . . . . . . . . . . . 14GVOKE HYPOPEN 1-PACK . . . . . . . . 24 hydrochlorothiazide oral . . . . . . . . . . . 17 ILEVRO . . . . . . . . . . . . . . . . . . . . . . . . . 34GVOKE HYPOPEN 2-PACK . . . . . . . . 24 hydrocodone bitartrate er oral imatinib mesylate . . . . . . . . . . . . . . . . . 14

capsule extended release 12 hour . . . 8GVOKE PFS . . . . . . . . . . . . . . . . . . . . . 24 imiquimod external cream 3.75 % . . . 21hydrocodone bitartrate er oral GYNAZOLE-1 . . . . . . . . . . . . . . . . . . . . 13 imiquimod external cream 5 % . . . . . . 21tablet er 24 hour abuse-deterrent . . . . 8 IMIQUIMOD PUMP . . . . . . . . . . . . . . . 21hydrocodone polst-chlorphen polst IMITREX ORAL . . . . . . . . . . . . . . . . . . 13H er susp . . . . . . . . . . . . . . . . . . . . . . . . . 35

IMITREX STATDOSE REFILL . . . . . . . 13hydrocodone-acetaminophen oral HAEGARDA . . . . . . . . . . . . . . . . . . . . . 32 IMITREX STATDOSE SYSTEM . . . . . . 13solution 10-325 mg/15ml . . . . . . . . . . . 8hailey 1.5/30 . . . . . . . . . . . . . . . . . . . . . 29 IMITREX SUBCUTANEOUS . . . . . . . . 13hydrocodone-acetaminophen oral hailey 24 fe . . . . . . . . . . . . . . . . . . . . . . 29 solution 7.5-325 mg/15ml . . . . . . . . . . . 8 IMPEKLO . . . . . . . . . . . . . . . . . . . . . . . 22hailey fe 1/20 . . . . . . . . . . . . . . . . . . . . 29 hydrocodone-acetaminophen oral IMPOYZ . . . . . . . . . . . . . . . . . . . . . . . . 22hailey fe 1.5/30 . . . . . . . . . . . . . . . . . . . 29 tablet 10-300 mg, 5-300 mg, IMURAN . . . . . . . . . . . . . . . . . . . . . . . . 32

7.5-300 mg . . . . . . . . . . . . . . . . . . . . . . . 8HALCION . . . . . . . . . . . . . . . . . . . . . . . 16 IMVEXXY MAINTENANCE PACK . . . 25hydrocodone-acetaminophen oral HARVONI ORAL PACKET . . . . . . . . . 15 IMVEXXY STARTER PACK . . . . . . . . . 25tablet 10-325 mg, 5-325 mg, HARVONI ORAL TABLET INBRIJA . . . . . . . . . . . . . . . . . . . . . . . . 147.5-325 mg . . . . . . . . . . . . . . . . . . . . . . . 845-200 MG . . . . . . . . . . . . . . . . . . . . . . 15

incassia . . . . . . . . . . . . . . . . . . . . . . . . . 29hydrocort-pramoxine (perianal) . . . . . 33HARVONI ORAL TABLET INCRUSE ELLIPTA . . . . . . . . . . . . . . . 36hydrocortisone ace-pramoxine 90-400 MG . . . . . . . . . . . . . . . . . . . . . . 15

external cream 1-1 % . . . . . . . . . . . . . . 33 INDERAL LA . . . . . . . . . . . . . . . . . . . . 17heather . . . . . . . . . . . . . . . . . . . . . . . . . 29hydrocortisone external cream 1 % . . 21 INDOCIN ORAL . . . . . . . . . . . . . . . . . . . 9HEMADY . . . . . . . . . . . . . . . . . . . . . . . . 31hydrocortisone external cream INDOCIN RECTAL . . . . . . . . . . . . . . . . . 9HEMANGEOL . . . . . . . . . . . . . . . . . . . 172.5 % . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 indomethacin er . . . . . . . . . . . . . . . . . . . 9HIDEX 6-DAY . . . . . . . . . . . . . . . . . . . . 31hydrocortisone external lotion INDOMETHACIN ORAL CAPSULE HUMALOG KWIKPEN . . . . . . . . . . . . . 23 2.5 % . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 20 MG . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

HUMALOG MIX 50/50 KWIKPEN . . . 23 hydrocortisone external ointment indomethacin oral capsule 25 mg, HUMALOG MIX 50/50 VIAL . . . . . . . . 23 1 %, 2.5 % . . . . . . . . . . . . . . . . . . . . . . . 21 50 mg . . . . . . . . . . . . . . . . . . . . . . . . . . . 9HUMALOG MIX 75/25 KWIKPEN . . . 23 hydrocortisone oral . . . . . . . . . . . . . . . 31 INSULIN ASPART . . . . . . . . . . . . . . . . 24HUMALOG MIX 75/25 VIAL . . . . . . . . 23 hydromorphone hcl er . . . . . . . . . . . . . 8 INSULIN ASPART FLEXPEN . . . . . . . 24HUMALOG U-100 JUNIOR hydromorphone hcl oral . . . . . . . . . . . . 8 INSULIN ASPART PENFILL . . . . . . . . 24KWIKPEN . . . . . . . . . . . . . . . . . . . . . . . 23 hydromorphone hcl rectal . . . . . . . . . . 8 INSULIN LISPRO . . . . . . . . . . . . . . . . . 24HUMALOG VIAL . . . . . . . . . . . . . . . . . 23 hydroxychloroquine sulfate oral . . . . . 14 INSULIN LISPRO (1 UNIT DIAL) . . . . . 24HUMATROPE . . . . . . . . . . . . . . . . . . . . 31 hydroxyzine hcl oral . . . . . . . . . . . . . . 16 INSULIN LISPRO JUNIOR HUMIRA . . . . . . . . . . . . . . . . . . . . . . . . 32 hydroxyzine pamoate oral . . . . . . . . . 16 KWIKPEN . . . . . . . . . . . . . . . . . . . . . . . 24HUMIRA PEDIATRIC CROHNS hyoscyamine sulfate er . . . . . . . . . . . . 26 INSULIN LISPRO PROT & LISPRO . . 24START . . . . . . . . . . . . . . . . . . . . . . . . . . 32

hyoscyamine sulfate oral . . . . . . . . . . 26 INSULIN SYRINGE AND PEN HUMIRA PEN . . . . . . . . . . . . . . . . . . . . 32 NEEDLES . . . . . . . . . . . . . . . . . . . . . . . 23hyoscyamine sulfate sl . . . . . . . . . . . . 26HUMIRA PEN-CD/UC/HS INTRAROSA. . . . . . . . . . . . . . . . . . . . . 25hyoscyamine sulfate sublingual . . . . . 26STARTER . . . . . . . . . . . . . . . . . . . . . . . 32

introvale . . . . . . . . . . . . . . . . . . . . . . . . 29hyosyne . . . . . . . . . . . . . . . . . . . . . . . . 26HUMIRA PEN-PEDIATRIC UC INTUNIV . . . . . . . . . . . . . . . . . . . . . . . . 19HYSINGLA ER . . . . . . . . . . . . . . . . . . . . 8START . . . . . . . . . . . . . . . . . . . . . . . . . . 32INVELTYS . . . . . . . . . . . . . . . . . . . . . . . 34HYZAAR . . . . . . . . . . . . . . . . . . . . . . . . 17HUMIRA PEN-PS/UV/ADOL HS ipratropium bromide nasal . . . . . . . . . 35START . . . . . . . . . . . . . . . . . . . . . . . . . . 32ipratropium-albuterol . . . . . . . . . . . . . 36HUMIRA PEN-PSOR/UVEIT I

STARTER . . . . . . . . . . . . . . . . . . . . . . . 32 irbesartan . . . . . . . . . . . . . . . . . . . . . . . 17ibandronate sodium oral . . . . . . . . . . . 33HUMULIN 70/30 KWIKPEN . . . . . . . . 23 irbesartan-hydrochlorothiazide . . . . . 17

HUMULIN 70/30 VIAL . . . . . . . . . . . . . 24 IBRANCE . . . . . . . . . . . . . . . . . . . . . . . 14 ISENTRESS . . . . . . . . . . . . . . . . . . . . . 15HUMULIN N KWIKPEN . . . . . . . . . . . . 24 ibuprofen . . . . . . . . . . . . . . . . . . . . . . . . 9 ISENTRESS HD . . . . . . . . . . . . . . . . . . 15

44

isibloom . . . . . . . . . . . . . . . . . . . . . . . . 29 KITABIS PAK . . . . . . . . . . . . . . . . . . . . 36 larissia . . . . . . . . . . . . . . . . . . . . . . . . . . 29isosorbide mononitrate . . . . . . . . . . . . 17 KLISYRI . . . . . . . . . . . . . . . . . . . . . . . . 22 LASIX . . . . . . . . . . . . . . . . . . . . . . . . . . 17isosorbide mononitrate er . . . . . . . . . 17 KLONOPIN . . . . . . . . . . . . . . . . . . . . . . 16 LASTACAFT . . . . . . . . . . . . . . . . . . . . . 34isotretinoin oral capsule 10 mg, klor-con . . . . . . . . . . . . . . . . . . . . . . 25, 26 latanoprost ophthalmic . . . . . . . . . . . . 3420 mg, 30 mg, 40 mg . . . . . . . . . . . . . 22 klor-con 10 . . . . . . . . . . . . . . . . . . . . . . 25 LATUDA . . . . . . . . . . . . . . . . . . . . . . . . 15ISTALOL . . . . . . . . . . . . . . . . . . . . . . . . 34 klor-con m10 . . . . . . . . . . . . . . . . . . . . 26 LEDIPASVIR-SOFOSBUVIR . . . . . . . . 15ivermectin external cream . . . . . . . . . 22 KLOR-CON M15 . . . . . . . . . . . . . . . . . 26 lessina . . . . . . . . . . . . . . . . . . . . . . . . . . 29

klor-con m20 . . . . . . . . . . . . . . . . . . . . 26 letrozole oral . . . . . . . . . . . . . . . . . . . . 14KOATE . . . . . . . . . . . . . . . . . . . . . . . . . 25 LEVALBUTEROL HFA INHALATION J

AEROSOL 45 MCG/ACT . . . . . . . . . . 36KOATE-DVI . . . . . . . . . . . . . . . . . . . . . . 25jaimiess . . . . . . . . . . . . . . . . . . . . . . . . . 29 LEVBID . . . . . . . . . . . . . . . . . . . . . . . . . 26KOGENATE FS . . . . . . . . . . . . . . . . . . . 25jantoven . . . . . . . . . . . . . . . . . . . . . . . . 11 LEVEMIR U-100 FLEXTOUCH . . . . . . 24KOMBIGLYZE XR . . . . . . . . . . . . . . . . 24JANUVIA . . . . . . . . . . . . . . . . . . . . . . . . 24 LEVEMIR U-100 VIAL . . . . . . . . . . . . . 24KOSELUGO . . . . . . . . . . . . . . . . . . . . . 14JARDIANCE . . . . . . . . . . . . . . . . . . . . . 24 levetiracetam er . . . . . . . . . . . . . . . . . . 11KOVALTRY . . . . . . . . . . . . . . . . . . . . . . 25jasmiel. . . . . . . . . . . . . . . . . . . . . . . . . . 29 levetiracetam oral . . . . . . . . . . . . . . . . 11KRINTAFEL . . . . . . . . . . . . . . . . . . . . . 14jencycla. . . . . . . . . . . . . . . . . . . . . . . . . 29 levo-t . . . . . . . . . . . . . . . . . . . . . . . . . . . 32kurvelo . . . . . . . . . . . . . . . . . . . . . . . . . 29JENTADUETO . . . . . . . . . . . . . . . . . . . 24 levocetirizine dihydrochloride oral KYNMOBI . . . . . . . . . . . . . . . . . . . . . . . 14JENTADUETO XR . . . . . . . . . . . . . . . . 24 solution . . . . . . . . . . . . . . . . . . . . . . . . . 35KYNMOBI TITRATION KIT . . . . . . . . . 14JIVI . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 levocetirizine dihydrochloride oral

tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . 35jolessa. . . . . . . . . . . . . . . . . . . . . . . . . . 29L levofloxacin oral . . . . . . . . . . . . . . . . . . 10JORNAY PM . . . . . . . . . . . . . . . . . . . . . 19

levonorgest-eth est & eth est . . . . . . . 29juleber . . . . . . . . . . . . . . . . . . . . . . . . . . 29 labetalol hcl oral . . . . . . . . . . . . . . . . . 17levonorgest-eth estrad 91-day oral JULUCA . . . . . . . . . . . . . . . . . . . . . . . . 15 LAMICTAL . . . . . . . . . . . . . . . . . . . . . . 11tablet 0.1-0.02 & 0.01 mg . . . . . . . . . . 29junel 1/20 . . . . . . . . . . . . . . . . . . . . . . . 29 LAMICTAL ODT ORAL KIT 21 X levonorgest-eth estrad 91-day oral junel 1.5/30 . . . . . . . . . . . . . . . . . . . . . 29 25 MG & 7 X 50 MG, 42 X 50 MG & tablet 0.15-0.03 &0.01 mg . . . . . . . . . . 2914X100 MG . . . . . . . . . . . . . . . . . . . . . . 11junel fe 1/20 . . . . . . . . . . . . . . . . . . . . . 29levonorgest-eth estrad 91-day oral LAMICTAL ODT ORAL KIT 25 & 50 junel fe 1.5/30 . . . . . . . . . . . . . . . . . . . 29 tablet 0.15-0.03 mg . . . . . . . . . . . . . . . 29& 100 MG . . . . . . . . . . . . . . . . . . . . . . . 11junel fe 24 . . . . . . . . . . . . . . . . . . . . . . . 29 levonorgestrel-ethinyl estrad oral LAMICTAL ODT ORAL TABLET tablet 0.1-20 mg-mcg, DISPERSIBLE . . . . . . . . . . . . . . . . . . . 110.15-30 mg-mcg . . . . . . . . . . . . . . . . . . 29K LAMICTAL STARTER . . . . . . . . . . . . . 11levora 0.15/30 (28) . . . . . . . . . . . . . . . . 29

LAMICTAL XR ORAL KIT . . . . . . . . . . 11K-TAB . . . . . . . . . . . . . . . . . . . . . . . . . . 26 LEVOTHYROXINE SODIUM ORAL LAMICTAL XR ORAL TABLET CAPSULE . . . . . . . . . . . . . . . . . . . . . . . 32kalliga . . . . . . . . . . . . . . . . . . . . . . . . . . 29EXTENDED RELEASE 24 HOUR . . . . 11

levothyroxine sodium oral tablet . . . . 32KAPSPARGO SPRINKLE . . . . . . . . . . 17lamotrigine er . . . . . . . . . . . . . . . . . . . . 11

levoxyl . . . . . . . . . . . . . . . . . . . . . . . . . . 32kariva . . . . . . . . . . . . . . . . . . . . . . . . . . 29lamotrigine oral kit . . . . . . . . . . . . . . . . 11

LEVSIN ORAL . . . . . . . . . . . . . . . . . . . 26KAZANO . . . . . . . . . . . . . . . . . . . . . . . 24lamotrigine oral tablet . . . . . . . . . . . . . 11

LEVSIN/SL . . . . . . . . . . . . . . . . . . . . . . 26KEFLEX. . . . . . . . . . . . . . . . . . . . . . . . . 10lamotrigine oral tablet chewable . . . . 11

LEXAPRO . . . . . . . . . . . . . . . . . . . . . . . 12KENALOG EXTERNAL . . . . . . . . . . . . 22lamotrigine oral tablet dispersible . . . 11

LIALDA . . . . . . . . . . . . . . . . . . . . . . . . . 33KEPPRA ORAL . . . . . . . . . . . . . . . . . . 11lamotrigine starter kit-blue . . . . . . . . . 11

lidocaine external ointment 5 % . . . . . . 8KEPPRA XR . . . . . . . . . . . . . . . . . . . . . 11lamotrigine starter kit-green . . . . . . . . 11

lidocaine external patch 5 % . . . . . . . . 8KESIMPTA . . . . . . . . . . . . . . . . . . . . . . 19lamotrigine starter kit-orange . . . . . . . 11

lidocaine hcl mouth/throat . . . . . . . . . 20ketoconazole external cream . . . . . . . 13LANCETS . . . . . . . . . . . . . . . . . . . . . . . 23

lidocaine viscous hcl . . . . . . . . . . . . . . 20ketoconazole external foam . . . . . . . . 13LANTUS SOLOSTAR . . . . . . . . . . . . . 24

lidocaine-prilocaine external cream . . 8ketoconazole external shampoo . . . . 13LANTUS U-100 VIAL . . . . . . . . . . . . . . 24

LIDODERM . . . . . . . . . . . . . . . . . . . . . . . 8ketodan external foam . . . . . . . . . . . . 13larin 1/20 . . . . . . . . . . . . . . . . . . . . . . . 29

lillow . . . . . . . . . . . . . . . . . . . . . . . . . . . 29KETOROLAC TROMETHAMINE larin 1.5/30 . . . . . . . . . . . . . . . . . . . . . . 29NASAL . . . . . . . . . . . . . . . . . . . . . . . . . . 9 LINZESS . . . . . . . . . . . . . . . . . . . . . . . . 26larin 24 fe . . . . . . . . . . . . . . . . . . . . . . . 29ketorolac tromethamine liothyronine sodium oral . . . . . . . . . . . 32larin fe 1/20 . . . . . . . . . . . . . . . . . . . . . 29ophthalmic . . . . . . . . . . . . . . . . . . . . . . 34 LIPITOR . . . . . . . . . . . . . . . . . . . . . . . . 17larin fe 1.5/30 . . . . . . . . . . . . . . . . . . . . 29ketorolac tromethamine oral . . . . . . . . 9 LIPOFEN . . . . . . . . . . . . . . . . . . . . . . . . 17

45

lisinopril oral . . . . . . . . . . . . . . . . . . . . . 17 LYUMJEV KWIKPEN . . . . . . . . . . . . . . 24 METHYLIN . . . . . . . . . . . . . . . . . . . . . . 19lisinopril-hydrochlorothiazide . . . . . . . 17 LYUMJEV VIAL . . . . . . . . . . . . . . . . . . 24 methylphenidate hcl er (cd) . . . . . . . . 19lithium carbonate er . . . . . . . . . . . . . . 16 lyza . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 methylphenidate hcl er (la) oral

capsule extended release 24 hour lithium carbonate oral . . . . . . . . . . . . . 1610 mg, 20 mg, 30 mg, 40 mg . . . . . . . 19LITHOBID . . . . . . . . . . . . . . . . . . . . . . . 16 M methylphenidate hcl er (la) oral LO LOESTRIN FE. . . . . . . . . . . . . . . . . 29 capsule extended release 24 hour MALARONE . . . . . . . . . . . . . . . . . . . . . 14lo-zumandimine . . . . . . . . . . . . . . . . . . 29 60 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 19

marlissa . . . . . . . . . . . . . . . . . . . . . . . . 29LODINE . . . . . . . . . . . . . . . . . . . . . . . . . . 9 methylphenidate hcl er (xr) . . . . . . . . . 19matzim la . . . . . . . . . . . . . . . . . . . . . . . 17LOESTRIN 1/20 (21) . . . . . . . . . . . . . . 29 methylphenidate hcl er oral tablet MAVENCLAD . . . . . . . . . . . . . . . . . . . . 19LOESTRIN 1.5/30 (21) . . . . . . . . . . . . . 29 extended release 10 mg, 20 mg . . . . 19MAVYRET . . . . . . . . . . . . . . . . . . . . . . 15LOESTRIN FE 1/20 . . . . . . . . . . . . . . . 29 methylphenidate hcl er oral tablet MAXALT . . . . . . . . . . . . . . . . . . . . . . . . 13 extended release 18 mg, 27 mg, LOESTRIN FE 1.5/30 . . . . . . . . . . . . . . 29

36 mg, 54 mg, 72 mg . . . . . . . . . . . . . 19MAXALT-MLT . . . . . . . . . . . . . . . . . . . . 13lojaimiess . . . . . . . . . . . . . . . . . . . . . . . 29methylphenidate hcl er oral tablet MAXITROL . . . . . . . . . . . . . . . . . . . . . . 34LOKELMA . . . . . . . . . . . . . . . . . . . . . . . 26 extended release 24 hour . . . . . . . . . . 19MAXZIDE . . . . . . . . . . . . . . . . . . . . . . . 17LOMOTIL . . . . . . . . . . . . . . . . . . . . . . . 26 methylphenidate hcl oral solution . . . 19MAXZIDE-25 . . . . . . . . . . . . . . . . . . . . 17LOPID . . . . . . . . . . . . . . . . . . . . . . . . . . 17 methylphenidate hcl oral tablet . . . . . 19MAYZENT . . . . . . . . . . . . . . . . . . . . . . . 19LOPRESSOR . . . . . . . . . . . . . . . . . . . . 17 methylphenidate hcl oral tablet MEDROL ORAL TABLET 16 MG, LOPROX EXTERNAL SHAMPOO . . . 13 chewable . . . . . . . . . . . . . . . . . . . . . . . 194 MG, 8 MG . . . . . . . . . . . . . . . . . . . . . 31

lorazepam intensol . . . . . . . . . . . . . . . 16 methylprednisolone oral . . . . . . . . . . . 31MEDROL ORAL TABLET 2 MG . . . . . 31lorazepam oral concentrate metoclopramide hcl oral solution . . . 13MEDROL ORAL TABLET 32 MG . . . . 312 mg/ml . . . . . . . . . . . . . . . . . . . . . . . . 16 metoclopramide hcl oral tablet . . . . . 13MEDROL ORAL TABLET THERAPY lorazepam oral tablet . . . . . . . . . . . . . 16 metoclopramide hcl oral tablet PACK . . . . . . . . . . . . . . . . . . . . . . . . . . . 31LORTAB . . . . . . . . . . . . . . . . . . . . . . . . . 8 dispersible . . . . . . . . . . . . . . . . . . . . . . 13medroxyprogesterone acetate loryna . . . . . . . . . . . . . . . . . . . . . . . . . . 29 metoprolol succinate er oral tablet intramuscular suspension . . . . . . . . . 29losartan potassium oral . . . . . . . . . . . 17 extended release 24 hour 100 mg, medroxyprogesterone acetate

200 mg, 50 mg . . . . . . . . . . . . . . . . . . . 17losartan potassium-hctz . . . . . . . . . . . 17 intramuscular suspension prefilled metoprolol succinate er oral tablet syringe . . . . . . . . . . . . . . . . . . . . . . . . . 29LOSEASONIQUE . . . . . . . . . . . . . . . . . 29extended release 24 hour 25 mg . . . . 17medroxyprogesterone acetate oral . . 29LOTEMAX OPHTHALMIC metoprolol tartrate oral tablet OINTMENT . . . . . . . . . . . . . . . . . . . . . . 34 meloxicam oral capsule . . . . . . . . . . . . 9100 mg, 25 mg, 50 mg . . . . . . . . . . . . 17LOTEMAX OPHTHALMIC meloxicam oral tablet . . . . . . . . . . . . . . 9metoprolol tartrate oral tablet SUSPENSION . . . . . . . . . . . . . . . . . . . 34 MENOSTAR . . . . . . . . . . . . . . . . . . . . . 29 37.5 mg, 75 mg . . . . . . . . . . . . . . . . . . 17LOTEMAX SM . . . . . . . . . . . . . . . . . . . 34 mercaptopurine oral . . . . . . . . . . . . . . 14 METROCREAM . . . . . . . . . . . . . . . . . . 22LOTENSIN . . . . . . . . . . . . . . . . . . . . . . 17 merzee . . . . . . . . . . . . . . . . . . . . . . . . . 29 METROGEL . . . . . . . . . . . . . . . . . . . . . 22LOTENSIN HCT . . . . . . . . . . . . . . . . . . 17 mesalamine er oral capsule METROLOTION . . . . . . . . . . . . . . . . . . 22loteprednol etabonate ophthalmic 0.375 gm . . . . . . . . . . . . . . . . . . . . . . . . 33metronidazole external cream . . . . . . 22gel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 mesalamine oral . . . . . . . . . . . . . . . . . 33metronidazole external gel 0.75 % . . . 22loteprednol etabonate ophthalmic mesalamine rectal enema . . . . . . . . . 33

suspension . . . . . . . . . . . . . . . . . . . . . . 34 metronidazole external gel 1 % . . . . . 22mesalamine rectal suppository . . . . . 33

metronidazole external lotion . . . . . . . 22LOTREL . . . . . . . . . . . . . . . . . . . . . . . . 17metaxalone . . . . . . . . . . . . . . . . . . . . . 37

metronidazole oral . . . . . . . . . . . . . . . . 10lovastatin oral . . . . . . . . . . . . . . . . . . . . 17metformin hcl er . . . . . . . . . . . . . . 24, 25

LOVENOX . . . . . . . . . . . . . . . . . . . . . . . 11 metronidazole vaginal . . . . . . . . . . . . . 10metformin hcl er (mod) . . . . . . . . . . . . 24

low-ogestrel . . . . . . . . . . . . . . . . . . . . . 29 mibelas 24 fe . . . . . . . . . . . . . . . . . . . . 29metformin hcl er (osm) . . . . . . . . . . . . 25

LUMIGAN . . . . . . . . . . . . . . . . . . . . . . . 34 MICARDIS . . . . . . . . . . . . . . . . . . . . . . 17metformin hcl oral solution . . . . . . . . . 25

LUNESTA . . . . . . . . . . . . . . . . . . . . . . . 37 microgestin 1/20 . . . . . . . . . . . . . . . . . 29metformin hcl oral tablet . . . . . . . . . . . 25

lutera . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 microgestin 1.5/30 . . . . . . . . . . . . . . . 29methimazole oral . . . . . . . . . . . . . . . . . 32

lyleq . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 microgestin 24 fe . . . . . . . . . . . . . . . . . 29methocarbamol oral . . . . . . . . . . . . . . 37

lyllana . . . . . . . . . . . . . . . . . . . . . . . . . . 29 microgestin fe 1/20 . . . . . . . . . . . . . . . 29methotrexate oral . . . . . . . . . . . . . . . . 32

LYNPARZA . . . . . . . . . . . . . . . . . . . . . . 14 microgestin fe 1.5/30 . . . . . . . . . . . . . 29methotrexate sodium . . . . . . . . . . . . . 32

LYRICA . . . . . . . . . . . . . . . . . . . . . . 19, 20 mili . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29methotrexate sodium (pf) . . . . . . . . . . 32

LYRICA CR . . . . . . . . . . . . . . . . . . . . . . 20 MILLIPRED . . . . . . . . . . . . . . . . . . . . . . 31

46

MINASTRIN 24 FE . . . . . . . . . . . . . . . . 29 mupirocin calcium . . . . . . . . . . . . . . . . 11 NEVANAC . . . . . . . . . . . . . . . . . . . . . . . 34MINIPRESS . . . . . . . . . . . . . . . . . . . . . 17 mupirocin external . . . . . . . . . . . . . . . . 11 NEXLETOL . . . . . . . . . . . . . . . . . . . . . . 18minitran . . . . . . . . . . . . . . . . . . . . . . . . . 17 mycophenolate mofetil oral . . . . . . . . 32 NEXLIZET . . . . . . . . . . . . . . . . . . . . . . . 18MINIVELLE . . . . . . . . . . . . . . . . . . . 28, 29 mycophenolate sodium . . . . . . . . . . . 32 niacin (antihyperlipidemic) . . . . . . . . . 18MINOCYCLINE HCL ER ORAL MYDAYIS . . . . . . . . . . . . . . . . . . . . . . . 19 niacin er (antihyperlipidemic) . . . . . . . 18CAPSULE EXTENDED RELEASE MYFORTIC . . . . . . . . . . . . . . . . . . . . . . 32 niacor . . . . . . . . . . . . . . . . . . . . . . . . . . 1824 HOUR . . . . . . . . . . . . . . . . . . . . . . . 10 myorisan . . . . . . . . . . . . . . . . . . . . . . . . 22 NIASPAN . . . . . . . . . . . . . . . . . . . . . . . 18minocycline hcl er oral tablet nifedipine er . . . . . . . . . . . . . . . . . . . . . 18extended release 24 hour . . . . . . . . . . 10

nifedipine er osmotic release . . . . . . . 18Nminocycline hcl oral capsule . . . . . . . 10nifedipine oral . . . . . . . . . . . . . . . . . . . 18minocycline hcl oral tablet . . . . . . . . . 10 nabumetone oral . . . . . . . . . . . . . . . . . . 9 nikki . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29MINOLIRA . . . . . . . . . . . . . . . . . . . . . . 10 nadolol oral . . . . . . . . . . . . . . . . . . . . . 17 nitisinone . . . . . . . . . . . . . . . . . . . . . . . 27MIRAPEX . . . . . . . . . . . . . . . . . . . . . . . 14 NAFRINSE DAILY/NEUTRAL . . . . . . . 20 NITRO-BID . . . . . . . . . . . . . . . . . . . . . . 18MIRAPEX ER . . . . . . . . . . . . . . . . . . . . 14 NAFRINSE WEEKLY . . . . . . . . . . . . . . 20 NITRO-DUR . . . . . . . . . . . . . . . . . . . . . 18MIRCETTE . . . . . . . . . . . . . . . . . . . . . . 29 NALOCET . . . . . . . . . . . . . . . . . . . . . . . . 8 NITRO-TIME . . . . . . . . . . . . . . . . . . . . . 18mirtazapine oral . . . . . . . . . . . . . . . . . . 12 naloxone hcl injection . . . . . . . . . . . . . 10 nitroglycerin sublingual . . . . . . . . . . . . 18MIRVASO . . . . . . . . . . . . . . . . . . . . . . . 22 naltrexone hcl oral . . . . . . . . . . . . . . . . 10 nitroglycerin transdermal . . . . . . . . . . 18misoprostol oral . . . . . . . . . . . . . . . . . . 26 NAPRELAN . . . . . . . . . . . . . . . . . . . . . . 9 nitroglycerin translingual . . . . . . . . . . 18MITIGARE . . . . . . . . . . . . . . . . . . . . . . 13 NAPROSYN ORAL SUSPENSION . . . . 9 NITROLINGUAL . . . . . . . . . . . . . . . . . . 18MOBIC . . . . . . . . . . . . . . . . . . . . . . . . . . 9 NAPROSYN ORAL TABLET . . . . . . . . . 9 NITROMIST . . . . . . . . . . . . . . . . . . . . . 18modafinil . . . . . . . . . . . . . . . . . . . . . . . . 37 naproxen oral suspension . . . . . . . . . . 9 NITROSTAT . . . . . . . . . . . . . . . . . . . . . 18mometasone furoate external . . . . . . 22 naproxen oral tablet . . . . . . . . . . . . . . . 9 NITYR . . . . . . . . . . . . . . . . . . . . . . . . . . 27mondoxyne nl oral capsule 100 mg . 11 naproxen oral tablet delayed NOCDURNA . . . . . . . . . . . . . . . . . . . . . 31mondoxyne nl oral capsule 75 mg . . . 11 release . . . . . . . . . . . . . . . . . . . . . . . . . . 9nora-be . . . . . . . . . . . . . . . . . . . . . . . . . 29mono-linyah . . . . . . . . . . . . . . . . . . . . . 29 naproxen sodium er oral tablet NORDITROPIN FLEXPRO . . . . . . . . . 31extended release 24 hour 375 mg, montelukast sodium oral packet . . . . 36norethin ace-eth estrad-fe oral 500 mg . . . . . . . . . . . . . . . . . . . . . . . . . . 9montelukast sodium oral tablet . . . . . 36 capsule . . . . . . . . . . . . . . . . . . . . . . . . . 29NAPROXEN SODIUM ER ORAL montelukast sodium oral tablet norethin ace-eth estrad-fe oral TABLET EXTENDED RELEASE chewable . . . . . . . . . . . . . . . . . . . . . . . 36 tablet . . . . . . . . . . . . . . . . . . . . . . . . . . . 3024 HOUR 750 MG . . . . . . . . . . . . . . . . . 9

morgidox oral . . . . . . . . . . . . . . . . . . . . 11 norethin ace-eth estrad-fe oral naproxen sodium oral tablet morphine sulfate (concentrate) oral tablet chewable . . . . . . . . . . . . . . . . . . 30275 mg, 550 mg . . . . . . . . . . . . . . . . . . . 9solution 100 mg/5ml, 20 mg/ml . . . . . . 8 norethindrone acet-ethinyl est . . . . . . 30naratriptan hcl . . . . . . . . . . . . . . . . . . . 14morphine sulfate er oral capsule norethindrone acetate oral . . . . . . . . . 30NARCAN . . . . . . . . . . . . . . . . . . . . . . . 10extended release 24 hour . . . . . . . . . . . 8

norethindrone oral . . . . . . . . . . . . . . . . 30NASCOBAL . . . . . . . . . . . . . . . . . . . . . 26morphine sulfate er oral tablet norgestimate-eth estradiol . . . . . . . . . 30NATAZIA . . . . . . . . . . . . . . . . . . . . . . . . 29extended release . . . . . . . . . . . . . . . . . . 8norgestimate-ethinyl estradiol NATESTO . . . . . . . . . . . . . . . . . . . . . . . 31morphine sulfate oral . . . . . . . . . . . . . . 8triphasic oral tablet 0.18/0.215/ NATURE-THROID . . . . . . . . . . . . . . . . 32morphine sulfate rectal . . . . . . . . . . . . . 8 0.25 mg-25 mcg . . . . . . . . . . . . . . . . . . 30

NAYZILAM . . . . . . . . . . . . . . . . . . . . . . 11MOTEGRITY . . . . . . . . . . . . . . . . . . . . 26 norgestimate-ethinyl estradiol necon 0.5/35 (28) . . . . . . . . . . . . . . . . 29MOVIPREP . . . . . . . . . . . . . . . . . . . . . . 26 triphasic oral tablet 0.18/0.215/ neomycin-polymyxin-dexameth MOXEZA . . . . . . . . . . . . . . . . . . . . . . . . 34 0.25 mg-35 mcg. . . . . . . . . . . . . . . . . . 30ophthalmic ointment . . . . . . . . . . . . . . 34moxifloxacin hcl (2x day) . . . . . . . . . . . 34 NORITATE . . . . . . . . . . . . . . . . . . . . . . 22neomycin-polymyxin-dexameth moxifloxacin hcl ophthalmic norlyda . . . . . . . . . . . . . . . . . . . . . . . . . 30ophthalmic suspension solution . . . . . . . . . . . . . . . . . . . . . . . . . 34 norlyroc . . . . . . . . . . . . . . . . . . . . . . . . 303.5-10000-0.1 . . . . . . . . . . . . . . . . . . . . 34

MS CONTIN . . . . . . . . . . . . . . . . . . . . . . 8 nortrel 0.5/35 (28) . . . . . . . . . . . . . . . . 30neomycin-polymyxin-hc otic . . . . . . . . 35MULPLETA . . . . . . . . . . . . . . . . . . . . . . 25 nortrel 1/35 (21) . . . . . . . . . . . . . . . . . . 30NEORAL . . . . . . . . . . . . . . . . . . . . . . . . 32MULTAQ . . . . . . . . . . . . . . . . . . . . . . . . 17 nortrel 1/35 (28) . . . . . . . . . . . . . . . . . . 30NESINA . . . . . . . . . . . . . . . . . . . . . . . . . 25multi-vitamin/fluoride . . . . . . . . . . . . . 26 nortriptyline hcl oral . . . . . . . . . . . . . . 12neuac external gel . . . . . . . . . . . . . . . . 22multivitamin/fluoride oral solution . . . 26 NORVASC . . . . . . . . . . . . . . . . . . . . . . 18NEULASTA . . . . . . . . . . . . . . . . . . . . . . 25multivitamin/fluoride oral tablet NORVIR ORAL PACKET . . . . . . . . . . . 15NEURONTIN . . . . . . . . . . . . . . . . . . . . 11chewable 0.25 mg, 0.5 mg, 1 mg . . . . 26

47

NORVIR ORAL SOLUTION . . . . . . . . 15 O ORFADIN . . . . . . . . . . . . . . . . . . . . . . . 27NORVIR ORAL TABLET . . . . . . . . . . . 15 ORGOVYX . . . . . . . . . . . . . . . . . . . . . . 14

ocella . . . . . . . . . . . . . . . . . . . . . . . . . . 30NOURIANZ . . . . . . . . . . . . . . . . . . . . . . 14 ORIAHNN . . . . . . . . . . . . . . . . . . . . . . . 31

OCUFLOX . . . . . . . . . . . . . . . . . . . . . . . 34novarel intramuscular solution ORILISSA . . . . . . . . . . . . . . . . . . . . . . . 31

ODEFSEY . . . . . . . . . . . . . . . . . . . . . . . 15reconstituted 10000 unit . . . . . . . . . . . 33 orsythia . . . . . . . . . . . . . . . . . . . . . . . . . 30ODOMZO . . . . . . . . . . . . . . . . . . . . . . . 14NOVAREL INTRAMUSCULAR ORTIKOS . . . . . . . . . . . . . . . . . . . . . . . 33ofloxacin ophthalmic . . . . . . . . . . . . . . 34SOLUTION RECONSTITUTED oscimin . . . . . . . . . . . . . . . . . . . . . . . . . 265000 UNIT . . . . . . . . . . . . . . . . . . . . . . 33 ofloxacin otic . . . . . . . . . . . . . . . . . . . . 35

oscimin sr . . . . . . . . . . . . . . . . . . . . . . . 26NOVOEIGHT . . . . . . . . . . . . . . . . . . . . 25 olanzapine oral tablet . . . . . . . . . . . . . 15oseltamivir phosphate oral capsule . . 15NOVOFINE AUTOCOVER PEN olanzapine oral tablet dispersible . . . 15oseltamivir phosphate oral NEEDLE . . . . . . . . . . . . . . . . . . . . . . . . 23 olmesartan medoxomil oral . . . . . . . . 18 suspension reconstituted . . . . . . . . . . 15NOVOFINE PEN NEEDLE . . . . . . . . . . 23 olmesartan medoxomil-hctz . . . . . . . . 18 OSENI . . . . . . . . . . . . . . . . . . . . . . . . . . 25NOVOFINE PLUS PEN NEEDLE . . . . 23 olopatadine hcl ophthalmic solution OSPHENA . . . . . . . . . . . . . . . . . . . . . . 25NOVOLIN 70/30 FLEXPEN . . . . . . . . . 24 0.1 % . . . . . . . . . . . . . . . . . . . . . . . . . . . 34OTEZLA . . . . . . . . . . . . . . . . . . . . . . . . 32NOVOLIN 70/30 FLEXPEN RELION . 24 olopatadine hcl ophthalmic solution OTREXUP . . . . . . . . . . . . . . . . . . . . . . . 320.2 % . . . . . . . . . . . . . . . . . . . . . . . . . . . 34NOVOLIN 70/30 RELION . . . . . . . . . . 24OVIDREL . . . . . . . . . . . . . . . . . . . . . . . 33OLUMIANT ORAL TABLET 1 MG . . . 32NOVOLIN 70/30 VIAL . . . . . . . . . . . . . 24OXAYDO . . . . . . . . . . . . . . . . . . . . . . . . . 8OLUMIANT ORAL TABLET 2 MG . . . 32NOVOLIN N FLEXPEN . . . . . . . . . . . . 24oxcarbazepine . . . . . . . . . . . . . . . . . . . 11OLUX . . . . . . . . . . . . . . . . . . . . . . . . . . 22NOVOLIN N FLEXPEN RELION . . . . . 24OXTELLAR XR . . . . . . . . . . . . . . . . . . . 11OMECLAMOX-PAK . . . . . . . . . . . . . . . 26NOVOLIN N RELION . . . . . . . . . . . . . . 24oxybutynin chloride er . . . . . . . . . . . . 27omega-3-acid ethyl esters . . . . . . . . . 18NOVOLIN N VIAL . . . . . . . . . . . . . . . . . 24oxybutynin chloride oral . . . . . . . . . . . 27omeprazole oral capsule delayed NOVOLIN R FLEXPEN . . . . . . . . . . . . 24OXYCODONE HCL ER . . . . . . . . . . . . . 8release . . . . . . . . . . . . . . . . . . . . . . . . . 26NOVOLIN R FLEXPEN RELION . . . . . 24oxycodone hcl oral capsule . . . . . . . . . 8OMEPRAZOLE+SYRSPEND SF NOVOLIN R RELION . . . . . . . . . . . . . . 24

ALKA . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 oxycodone hcl oral concentrate NOVOLIN R VIAL . . . . . . . . . . . . . . . . . 24 100 mg/5ml . . . . . . . . . . . . . . . . . . . . . . 8OMNARIS . . . . . . . . . . . . . . . . . . . . . . . 35NOVOLOG FLEXPEN . . . . . . . . . . . . . 24 oxycodone hcl oral solution . . . . . . . . . 8OMNITROPE . . . . . . . . . . . . . . . . . . . . 31NOVOLOG PENFILL . . . . . . . . . . . . . . 24 oxycodone hcl oral tablet 10 mg, ondansetron hcl oral . . . . . . . . . . . . . . 13NOVOLOG U-100 VIAL . . . . . . . . . . . . 24 15 mg, 20 mg, 30 mg . . . . . . . . . . . . . . 8ondansetron odt . . . . . . . . . . . . . . . . . 13NOVOTWIST . . . . . . . . . . . . . . . . . . . . 23 oxycodone hcl oral tablet 5 mg . . . . . . 8ONETOUCH DELICA PLUS np thyroid . . . . . . . . . . . . . . . . . . . . . . . 32 OXYCODONE-ACETAMINOPHEN LANCETS . . . . . . . . . . . . . . . . . . . . . . . 23NUBEQA. . . . . . . . . . . . . . . . . . . . . . . . 14 ORAL SOLUTION . . . . . . . . . . . . . . . . . 8ONETOUCH ULTRA 2 KIT NUCALA SUBCUTANEOUS OXYCODONE-ACETAMINOPHEN W/DEVICE . . . . . . . . . . . . . . . . . . . . . . 23SOLUTION AUTO-INJECTOR . . . . . . 36 ORAL TABLET 10-300 MG, ONETOUCH ULTRA BLUE TEST

5-300 MG . . . . . . . . . . . . . . . . . . . . . . . . 8NUCALA SUBCUTANEOUS STRIPS IN VITRO STRIP . . . . . . . . . . 23SOLUTION PREFILLED SYRINGE . . . 36 oxycodone-acetaminophen oral ONETOUCH ULTRA MINI KIT

tablet 10-325 mg, 2.5-325 mg, NUCYNTA . . . . . . . . . . . . . . . . . . . . . . . . 8 W/DEVICE . . . . . . . . . . . . . . . . . . . . . . 235-325 mg, 7.5-325 mg . . . . . . . . . . . . . . 8NUCYNTA ER . . . . . . . . . . . . . . . . . . . . . 8 ONETOUCH ULTRASOFT OXYCODONE-ACETAMINOPHEN LANCETS . . . . . . . . . . . . . . . . . . . . . . . 23NUEDEXTA . . . . . . . . . . . . . . . . . . . . . 20 ORAL TABLET 2.5-300 MG . . . . . . . . . 8

ONETOUCH VERIO FLEX SYSTEM NULEV . . . . . . . . . . . . . . . . . . . . . . . . . 26 OXYCONTIN . . . . . . . . . . . . . . . . . . . . . 9KIT W/DEVICE . . . . . . . . . . . . . . . . . . . 23NUTROPIN AQ NUSPIN 10 . . . . . . . . 31 OZEMPIC . . . . . . . . . . . . . . . . . . . . . . . 25ONETOUCH VERIO IQ SYSTEM . . . . 23NUTROPIN AQ NUSPIN 20 . . . . . . . . 31 OZOBAX . . . . . . . . . . . . . . . . . . . . . . . . 37ONETOUCH VERIO KIT W/DEVICE . 23NUTROPIN AQ NUSPIN 5 . . . . . . . . . 31ONETOUCH VERIO REFLECT . . . . . . 23NUVARING . . . . . . . . . . . . . . . . . . . . . . 30

PONETOUCH VERIO TEST STRIPS . . 23NUWIQ . . . . . . . . . . . . . . . . . . . . . . . . . 25ONGLYZA . . . . . . . . . . . . . . . . . . . . . . . 25NUZYRA ORAL . . . . . . . . . . . . . . . . . . 11 PACERONE ORAL TABLET ONZETRA XSAIL . . . . . . . . . . . . . . . . . 14 100 MG, 400 MG . . . . . . . . . . . . . . . . . 18nyamyc . . . . . . . . . . . . . . . . . . . . . . . . . 13OPSUMIT . . . . . . . . . . . . . . . . . . . . . . . 37 PACERONE ORAL TABLET nymyo . . . . . . . . . . . . . . . . . . . . . . . . . . 30ORAPRED ODT . . . . . . . . . . . . . . . . . . 31 200 MG . . . . . . . . . . . . . . . . . . . . . . . . . 18nystatin external . . . . . . . . . . . . . . . . . 13ORENCIA CLICKJECT . . . . . . . . . . . . 32 PAMELOR . . . . . . . . . . . . . . . . . . . . . . 12nystatin mouth/throat . . . . . . . . . . . . . 13ORENCIA SUBCUTANEOUS . . . . . . . 32nystop . . . . . . . . . . . . . . . . . . . . . . . . . . 13

48

PANCREAZE ORAL CAPSULE potassium chloride crys er oral PROCTOFOAM HC . . . . . . . . . . . . . . . 33DELAYED RELEASE PARTICLES tablet extended release 10 meq, progesterone oral . . . . . . . . . . . . . . . . 3010500-35500 UNIT, 16800-56800 20 meq . . . . . . . . . . . . . . . . . . . . . . . . . 26 PROGRAF ORAL CAPSULE . . . . . . . 32UNIT, 21000-54700 UNIT, 2600- potassium chloride er . . . . . . . . . . . . . 26 PROGRAF ORAL PACKET . . . . . . . . . 328800 UNIT, 4200-14200 UNIT . . . . . . 27 potassium chloride oral packet . . . . . 26 PROLATE . . . . . . . . . . . . . . . . . . . . . . . . 9pantoprazole sodium oral packet . . . 26 potassium chloride oral solution promethazine hcl oral solution . . . . . . 35pantoprazole sodium tablet delayed 20 meq/15ml (10%), 40 meq/15ml release 20 mg oral . . . . . . . . . . . . . . . . 26 promethazine hcl oral syrup . . . . . . . . 35(20%) . . . . . . . . . . . . . . . . . . . . . . . . . . . 26pantoprazole sodium tablet delayed promethazine hcl oral tablet . . . . . . . . 13potassium citrate er. . . . . . . . . . . . . . . 26release 40 mg oral . . . . . . . . . . . . . . . . 26 promethazine hcl rectal . . . . . . . . . . . 13PRADAXA . . . . . . . . . . . . . . . . . . . . . . 11paroxetine hcl . . . . . . . . . . . . . . . . . . . 12 promethazine-codeine . . . . . . . . . . . . 35PRALUENT. . . . . . . . . . . . . . . . . . . . . . 18paroxetine hcl er . . . . . . . . . . . . . . . . . 12 promethazine-dm . . . . . . . . . . . . . . . . 35pramipexole dihydrochloride . . . . . . . 14PAXIL CR . . . . . . . . . . . . . . . . . . . . . . . 12 promethegan . . . . . . . . . . . . . . . . . . . . 13pramipexole dihydrochloride er . . . . . 14PAXIL ORAL SUSPENSION . . . . . . . . 12 PROMETRIUM . . . . . . . . . . . . . . . . . . . 30pravastatin sodium . . . . . . . . . . . . . . . 18PAXIL ORAL TABLET . . . . . . . . . . . . . 12 propranolol hcl er . . . . . . . . . . . . . . . . 18prazosin hcl oral . . . . . . . . . . . . . . . . . 18PEDIAPRED . . . . . . . . . . . . . . . . . . . . . 31 propranolol hcl oral . . . . . . . . . . . . . . . 18PRED FORTE . . . . . . . . . . . . . . . . . . . . 34peg-3350/electrolytes . . . . . . . . . . . . . 27 PROSCAR . . . . . . . . . . . . . . . . . . . . . . 27PRED MILD . . . . . . . . . . . . . . . . . . . . . 34peg-3350/electrolytes/ascorbat . . . . 27 PROTONIX ORAL . . . . . . . . . . . . . . . . 26prednisolone acetate ophthalmic . . . 34peg-kcl-nacl-nasulf-na asc-c . . . . . . . 27 PROVENTIL HFA . . . . . . . . . . . . . . 35, 36prednisolone oral solution . . . . . . . . . 31penicillamine oral capsule . . . . . . . . . 27 PROVERA . . . . . . . . . . . . . . . . . . . . 28, 30prednisolone sodium phosphate penicillamine oral tablet . . . . . . . . . . . 27 oral . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 PROVIGIL . . . . . . . . . . . . . . . . . . . . . . . 37penicillin v potassium . . . . . . . . . . . . . 11 prednisone intensol . . . . . . . . . . . . . . . 31 PROZAC . . . . . . . . . . . . . . . . . . . . . . . . 12PENNSAID . . . . . . . . . . . . . . . . . . . . . . . 9 prednisone oral . . . . . . . . . . . . . . . . . . 31 pseudoephedrine-bromphen-dm . . . 35PENTASA . . . . . . . . . . . . . . . . . . . . . . . 33 pregabalin oral capsule . . . . . . . . . . . 20 PULMICORT FLEXHALER . . . . . . . . . 36PERCOCET . . . . . . . . . . . . . . . . . . . . . . 9 pregabalin oral solution . . . . . . . . . . . 20 PULMICORT SUSPENSION . . . . . . . . 36PERFOROMIST . . . . . . . . . . . . . . . . . . 36 pregnyl . . . . . . . . . . . . . . . . . . . . . . . . . 33 PULMOZYME . . . . . . . . . . . . . . . . . . . 36PERIDEX . . . . . . . . . . . . . . . . . . . . . . . . 20 PREMARIN ORAL . . . . . . . . . . . . . . . . 30 PURIXAN . . . . . . . . . . . . . . . . . . . . . . . 14periogard . . . . . . . . . . . . . . . . . . . . . . . 20 PREMARIN VAGINAL . . . . . . . . . . . . . 30 PYLERA . . . . . . . . . . . . . . . . . . . . . . . . 26permethrin external . . . . . . . . . . . . . . . 14 premium lidocaine . . . . . . . . . . . . . . . . . 9 PYRIDIUM . . . . . . . . . . . . . . . . . . . . . . 27PERTZYE . . . . . . . . . . . . . . . . . . . . . . . 27 PREMPHASE . . . . . . . . . . . . . . . . . . . . 30phenazo oral tablet 200 mg . . . . . . . . 27 PREMPRO . . . . . . . . . . . . . . . . . . . . . . 30 Qphenazopyridine hcl oral tablet PREVIDENT 5000 BOOSTER 100 mg, 200 mg . . . . . . . . . . . . . . . . . . 27 QBRELIS . . . . . . . . . . . . . . . . . . . . . . . 18PLUS . . . . . . . . . . . . . . . . . . . . . . . . . . . 20philith . . . . . . . . . . . . . . . . . . . . . . . . . . 30 QDOLO . . . . . . . . . . . . . . . . . . . . . . . . . . 9PREVIDENT 5000 DRY MOUTH . . . . 20pimtrea . . . . . . . . . . . . . . . . . . . . . . . . . 30 QMIIZ ODT . . . . . . . . . . . . . . . . . . . . . . . 9PREVIDENT 5000 ORTHO pioglitazone hcl . . . . . . . . . . . . . . . . . . 25 DEFENSE . . . . . . . . . . . . . . . . . . . . . . . 20 QUARTETTE . . . . . . . . . . . . . . . . . . . . 30pirmella 1/35 . . . . . . . . . . . . . . . . . . . . 30 PREVIDENT 5000 PLUS . . . . . . . . . . . 20 QUDEXY XR . . . . . . . . . . . . . . . . . . . . . 11PLAQUENIL . . . . . . . . . . . . . . . . . . . . . 14 PREVIDENT DENTAL . . . . . . . . . . . . . 20 quetiapine fumarate . . . . . . . . . . . . . . 15PLAVIX . . . . . . . . . . . . . . . . . . . . . . . . . 15 PREVIDENT MOUTH/THROAT . . . . . 20 quetiapine fumarate er . . . . . . . . . . . . 15PLEGRIDY INTRAMUSCULAR . . . . . 19 previfem . . . . . . . . . . . . . . . . . . . . . . . . 30 QUFLORA PEDIATRIC . . . . . . . . . . . . 26PLEGRIDY STARTER PACK . . . . . . . . 19 PREZCOBIX . . . . . . . . . . . . . . . . . . . . . 15 QUILLICHEW ER . . . . . . . . . . . . . . . . . 19PLEGRIDY SUBCUTANEOUS . . . . . . 19 PREZISTA . . . . . . . . . . . . . . . . . . . . . . . 15 QUILLIVANT XR . . . . . . . . . . . . . . . . . . 19PLENVU . . . . . . . . . . . . . . . . . . . . . . . . 27 PRINIVIL . . . . . . . . . . . . . . . . . . . . . . . . 18 quinapril hcl . . . . . . . . . . . . . . . . . . . . . 18PLEXION . . . . . . . . . . . . . . . . . . . . . . . 22 PRISTIQ . . . . . . . . . . . . . . . . . . . . . . . . 12 QVAR REDIHALER . . . . . . . . . . . . . . . 36PLEXION CLEANSER . . . . . . . . . . . . . 22 PROAIR HFA . . . . . . . . . . . . . . . . . 35, 36PLEXION CLEANSING CLOTH . . . . . 22 PROAIR RESPICLICK . . . . . . . . . . . . . 36 RPOLY-VI-FLOR . . . . . . . . . . . . . . . . . . . 26 PROCARDIA XL . . . . . . . . . . . . . . . . . . 18

RABEPRAZOLE SODIUM ORAL polymyxin b-trimethoprim . . . . . . . . . . 34 PROCENTRA . . . . . . . . . . . . . . . . . . . . 19CAPSULE SPRINKLE . . . . . . . . . . . . . 26POLYTRIM . . . . . . . . . . . . . . . . . . . . . . 34 prochlorperazine maleate oral . . . . . . 13rabeprazole sodium oral tablet portia-28 . . . . . . . . . . . . . . . . . . . . . . . . 30 PROCORT . . . . . . . . . . . . . . . . . . . . . . 33 delayed release . . . . . . . . . . . . . . . . . . 26

49

ramipril . . . . . . . . . . . . . . . . . . . . . . . . . 18 rizatriptan benzoate . . . . . . . . . . . . . . . 14 sirolimus oral tablet . . . . . . . . . . . . . . . 33RANEXA . . . . . . . . . . . . . . . . . . . . . . . . 18 ROCALTROL . . . . . . . . . . . . . . . . . . . . 33 SITAVIG . . . . . . . . . . . . . . . . . . . . . . . . 15ranolazine er . . . . . . . . . . . . . . . . . . . . 18 ROCKLATAN . . . . . . . . . . . . . . . . . . . . 34 SKELAXIN . . . . . . . . . . . . . . . . . . . . . . 37RAPAMUNE ORAL SOLUTION . . . . . 32 ropinirole hcl . . . . . . . . . . . . . . . . . . . . 14 SKYRIZI (150 MG DOSE) . . . . . . . . . . 33RAPAMUNE ORAL TABLET . . . . . . . . 32 ropinirole hcl er . . . . . . . . . . . . . . . . . . 14 sodium fluoride 5000 plus . . . . . . . . . 20RASUVO . . . . . . . . . . . . . . . . . . . . . . . . 32 rosadan external cream . . . . . . . . . . . 22 sodium fluoride 5000 ppm . . . . . . . . . 20RAYALDEE . . . . . . . . . . . . . . . . . . . . . . 33 rosadan external gel . . . . . . . . . . . . . . 22 sodium fluoride dental . . . . . . . . . . . . 20RAYOS . . . . . . . . . . . . . . . . . . . . . . . . . 31 rosuvastatin calcium . . . . . . . . . . . . . . 18 SOFOSBUVIR-VELPATASVIR . . . . . . . 15REBIF . . . . . . . . . . . . . . . . . . . . . . . . . . 19 roweepra . . . . . . . . . . . . . . . . . . . . . . . 12 SOLIQUA . . . . . . . . . . . . . . . . . . . . . . . 25REBIF REBIDOSE . . . . . . . . . . . . . . . . 19 ROXICODONE ORAL TABLET SOLODYN . . . . . . . . . . . . . . . . . . . . . . 11

15 MG, 30 MG . . . . . . . . . . . . . . . . . . . . 9REBIF REBIDOSE TITRATION SOLTAMOX . . . . . . . . . . . . . . . . . . . . . 14PACK . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 ROXICODONE ORAL TABLET SOMA . . . . . . . . . . . . . . . . . . . . . . . . . . 37

5 MG . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9REBIF TITRATION PACK . . . . . . . . . . 19 SOMATULINE DEPOT . . . . . . . . . . . . . 31ROZLYTREK. . . . . . . . . . . . . . . . . . . . . 14reclipsen . . . . . . . . . . . . . . . . . . . . . . . . 30 SOOLANTRA . . . . . . . . . . . . . . . . . . . . 22RUCONEST . . . . . . . . . . . . . . . . . . . . . 33RECOMBINATE . . . . . . . . . . . . . . . . . . 25 sotalol hcl oral . . . . . . . . . . . . . . . . . . . 18RUKOBIA . . . . . . . . . . . . . . . . . . . . . . . 15REDITREX . . . . . . . . . . . . . . . . . . . . . . 33 SOTYLIZE . . . . . . . . . . . . . . . . . . . . . . . 18RYBELSUS . . . . . . . . . . . . . . . . . . . . . . 25REGLAN . . . . . . . . . . . . . . . . . . . . . . . . 13 SPIRIVA HANDIHALER . . . . . . . . . . . . 36RYTARY . . . . . . . . . . . . . . . . . . . . . . . . 14RELAFEN . . . . . . . . . . . . . . . . . . . . . . . . 9 SPIRIVA RESPIMAT . . . . . . . . . . . . . . 36

RELAFEN DS . . . . . . . . . . . . . . . . . . . . . 9 spironolactone oral . . . . . . . . . . . . . . . 18relexxii . . . . . . . . . . . . . . . . . . . . . . . . . 19 S sprintec 28 . . . . . . . . . . . . . . . . . . . . . . 30RELPAX . . . . . . . . . . . . . . . . . . . . . . . . 14 SPRITAM . . . . . . . . . . . . . . . . . . . . . . . 12SAFYRAL . . . . . . . . . . . . . . . . . . . . . . . 30REMERON . . . . . . . . . . . . . . . . . . . . . . 12 SPRIX . . . . . . . . . . . . . . . . . . . . . . . . . . . 9SAPHRIS . . . . . . . . . . . . . . . . . . . . . . . 15REMERON SOLTAB . . . . . . . . . . . . . . 12 sronyx . . . . . . . . . . . . . . . . . . . . . . . . . . 30scopolamine . . . . . . . . . . . . . . . . . . . . 13REPATHA . . . . . . . . . . . . . . . . . . . . . . . 18 sss 10-5 . . . . . . . . . . . . . . . . . . . . . . . . 22SEASONIQUE . . . . . . . . . . . . . . . . . . . 30REPATHA PUSHTRONEX SYSTEM. . 18 STELARA SUBCUTANEOUS SEMGLEE . . . . . . . . . . . . . . . . . . . . . . . 24REPATHA SURECLICK . . . . . . . . . . . . 18 SOLUTION . . . . . . . . . . . . . . . . . . . . . . 33

SEREVENT DISKUS . . . . . . . . . . . . . . 36RESTASIS . . . . . . . . . . . . . . . . . . . . . . . 35 STELARA SUBCUTANEOUS

SERNIVO . . . . . . . . . . . . . . . . . . . . . . . 22 SOLUTION PREFILLED SYRINGE . . . 33RESTASIS MULTIDOSE . . . . . . . . . . . 35SEROQUEL . . . . . . . . . . . . . . . . . . . . . 15 STENDRA . . . . . . . . . . . . . . . . . . . . . . . 25RESTORIL . . . . . . . . . . . . . . . . . . . . . . 37SEROQUEL XR . . . . . . . . . . . . . . . . . . 15 STIMATE . . . . . . . . . . . . . . . . . . . . . . . . 31RETACRIT INJECTION SOLUTION sertraline hcl oral . . . . . . . . . . . . . . . . . 1210000 UNIT/ML, 2000 UNIT/ML, STRATTERA . . . . . . . . . . . . . . . . . . . . 19setlakin . . . . . . . . . . . . . . . . . . . . . . . . . 303000 UNIT/ML, 4000 UNIT/ML, STRENSIQ . . . . . . . . . . . . . . . . . . . . . . 27

40000 UNIT/ML . . . . . . . . . . . . . . . . . . 25 sf . . . . . . . . . . . . . . . . . . . . . . . . . . . 20, 26 STRIBILD . . . . . . . . . . . . . . . . . . . . . . . 15RETACRIT INJECTION SOLUTION sf 5000 plus . . . . . . . . . . . . . . . . . . . . . 20 STRIVERDI RESPIMAT . . . . . . . . . . . . 3620000 UNIT/ML . . . . . . . . . . . . . . . . . . 25 SFROWASA . . . . . . . . . . . . . . . . . . . . . 33 SUBOXONE . . . . . . . . . . . . . . . . . . . . . 10RETIN-A . . . . . . . . . . . . . . . . . . . . . . . . 22 sharobel . . . . . . . . . . . . . . . . . . . . . . . . 30 SUBSYS SUBLINGUAL LIQUID REVLIMID . . . . . . . . . . . . . . . . . . . . . . . 14 sildenafil citrate oral tablet 100 mg, 400 MCG, 600 MCG, 800 MCG . . . . . . 9REYVOW . . . . . . . . . . . . . . . . . . . . . . . 14 25 mg, 50 mg . . . . . . . . . . . . . . . . . . . . 25 subvenite . . . . . . . . . . . . . . . . . . . . . . . 12RHOFADE. . . . . . . . . . . . . . . . . . . . . . . 22 simliya . . . . . . . . . . . . . . . . . . . . . . . . . . 30 subvenite starter kit-blue . . . . . . . . . . 12RHOPRESSA . . . . . . . . . . . . . . . . . . . . 34 simpesse . . . . . . . . . . . . . . . . . . . . . . . 30 subvenite starter kit-green . . . . . . . . . 12RILUTEK . . . . . . . . . . . . . . . . . . . . . . . . 20 SIMPONI . . . . . . . . . . . . . . . . . . . . . . . . 33 subvenite starter kit-orange . . . . . . . . 12riluzole . . . . . . . . . . . . . . . . . . . . . . . . . 20 simvastatin oral tablet 10 mg, sucralfate oral suspension . . . . . . . . . 26

20 mg, 40 mg, 5 mg . . . . . . . . . . . . . . 18RINVOQ . . . . . . . . . . . . . . . . . . . . . . . . 33 sucralfate oral tablet . . . . . . . . . . . . . . 26simvastatin oral tablet 80 mg . . . . . . . 18RIOMET . . . . . . . . . . . . . . . . . . . . . . . . 25 sulfacetamide sod-sulfur wash . . . . . 22SINEMET . . . . . . . . . . . . . . . . . . . . . . . 14RISPERDAL . . . . . . . . . . . . . . . . . . . . . 15 sulfacetamide sodium-sulfur SINGULAIR ORAL PACKET . . . . . . . . 36risperidone . . . . . . . . . . . . . . . . . . . . . . 15 external cream 10-2 %, 10-5 % . . . . . . 22SINGULAIR ORAL TABLET . . . . . . . . 36RITALIN . . . . . . . . . . . . . . . . . . . . . . . . 19 sulfacetamide sodium-sulfur SINGULAIR ORAL TABLET RITALIN LA. . . . . . . . . . . . . . . . . . . . . . 19 external cream 9.8-4.8 % . . . . . . . . . . 22CHEWABLE . . . . . . . . . . . . . . . . . . . . . 36ritonavir . . . . . . . . . . . . . . . . . . . . . . . . . 15 sulfacetamide sodium-sulfur sirolimus oral solution . . . . . . . . . . . . . 33 external emulsion . . . . . . . . . . . . . . . . 22rivelsa . . . . . . . . . . . . . . . . . . . . . . . . . . 30

50

sulfacetamide sodium-sulfur tadalafil oral tablet 10 mg, 20 mg . . . 25 timolol maleate ophthalmic gel external liquid 10-2 %, 9.8-4.8 % . . . . 22 forming solution . . . . . . . . . . . . . . . . . . 35tadalafil oral tablet 2.5 mg, 5 mg . . . . 25sulfacetamide sodium-sulfur timolol maleate ophthalmic solution TAKHZYRO . . . . . . . . . . . . . . . . . . . . . 33external liquid 9-4 %, 9-4.5 % . . . . . . . 22 0.25 %, 0.5 % . . . . . . . . . . . . . . . . . . . . 35TAMIFLU ORAL CAPSULE . . . . . . . . . 15sulfacetamide sodium-sulfur timolol maleate ophthalmic solution TAMIFLU ORAL SUSPENSION external lotion 10-5 % . . . . . . . . . . . . . 22 0.5 % (daily) . . . . . . . . . . . . . . . . . . . . . 35RECONSTITUTED . . . . . . . . . . . . . . . . 15sulfacetamide sodium-sulfur timolol maleate pf . . . . . . . . . . . . . . . . 35tamoxifen citrate oral tablet 10 mg . . 14external lotion 9.8-4.8 % . . . . . . . . . . . 22 TIMOPTIC . . . . . . . . . . . . . . . . . . . . . . 35tamoxifen citrate oral tablet 20 mg . . 14sulfacetamide sodium-sulfur TIMOPTIC OCUDOSE tamsulosin hcl . . . . . . . . . . . . . . . . . . . 27external pad 10-4 % . . . . . . . . . . . . . . 22 OPHTHALMIC SOLUTION 0.25 % . . . 35

TAPAZOLE . . . . . . . . . . . . . . . . . . . . . . 32sulfacetamide sodium-sulfur TIMOPTIC OCUDOSE external suspension 10-5 % . . . . . . . . 22 TAPERDEX 12-DAY . . . . . . . . . . . . . . . 31 OPHTHALMIC SOLUTION 0.5 % . . . . 35sulfacetamide sodium-sulfur TAPERDEX 6-DAY . . . . . . . . . . . . . . . . 31 TIMOPTIC-XE . . . . . . . . . . . . . . . . . . . . 35external suspension 8-4 % . . . . . . . . . 22 TAPERDEX 7-DAY . . . . . . . . . . . . . . . . 31 TIROSINT . . . . . . . . . . . . . . . . . . . . . . . 32SULFACLEANSE 8/4 . . . . . . . . . . . . . . 22 TARGADOX . . . . . . . . . . . . . . . . . . . . . 11 TIROSINT-SOL . . . . . . . . . . . . . . . . . . . 32sulfamethoxazole-trimethoprim TARGRETIN EXTERNAL . . . . . . . . . . 14 TIVICAY. . . . . . . . . . . . . . . . . . . . . . . . . 15oral . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 TARGRETIN ORAL . . . . . . . . . . . . . . . 14 TIVICAY PD . . . . . . . . . . . . . . . . . . . . . 15sulfamez wash . . . . . . . . . . . . . . . . . . . 22 tarina 24 fe . . . . . . . . . . . . . . . . . . . . . . 30 TIVORBEX . . . . . . . . . . . . . . . . . . . . . . 10sulfasalazine oral . . . . . . . . . . . . . . . . . 33 tarina fe 1/20 . . . . . . . . . . . . . . . . . . . . 30 tizanidine hcl oral capsule . . . . . . . . . 37sulfatrim pediatric . . . . . . . . . . . . . . . . 11 tarina fe 1/20 eq . . . . . . . . . . . . . . . . . . 30 tizanidine hcl oral tablet . . . . . . . . . . . 37SUMADAN WASH . . . . . . . . . . . . . . . . 22 TASIGNA . . . . . . . . . . . . . . . . . . . . . . . 14 TOBI NEBULIZER . . . . . . . . . . . . . . . . 36sumatriptan succinate oral . . . . . . . . . 14 TAYTULLA . . . . . . . . . . . . . . . . . . . . . . 30 TOBI PODHALER . . . . . . . . . . . . . . . . 36sumatriptan succinate refill . . . . . . . . 14 tazarotene external cream . . . . . . . . . 22 TOBRADEX OPHTHALMIC sumatriptan succinate TAZORAC . . . . . . . . . . . . . . . . . . . . . . . 22 SUSPENSION . . . . . . . . . . . . . . . . . . . 34subcutaneous . . . . . . . . . . . . . . . . . . . 14

TEGRETOL . . . . . . . . . . . . . . . . . . . . . . 12 TOBRADEX ST . . . . . . . . . . . . . . . . . . 34SUMAXIN . . . . . . . . . . . . . . . . . . . . . . . 22TEGRETOL-XR . . . . . . . . . . . . . . . . . . . 12 tobramycin inhalation nebulization SUMAXIN WASH . . . . . . . . . . . . . . . . . 22 solution 300 mg/4ml . . . . . . . . . . . . . . 36TEGSEDI. . . . . . . . . . . . . . . . . . . . . . . . 27SUNOSI . . . . . . . . . . . . . . . . . . . . . . . . 37 tobramycin nebulization solution TEKTURNA . . . . . . . . . . . . . . . . . . . . . 18SUPREP BOWEL PREP KIT . . . . . . . . 27 300 mg/5ml inhalation . . . . . . . . . . . . 36TEKTURNA HCT . . . . . . . . . . . . . . . . . 18SUTAB . . . . . . . . . . . . . . . . . . . . . . . . . 27 tobramycin ophthalmic . . . . . . . . . . . . 34telmisartan . . . . . . . . . . . . . . . . . . . . . . 18syeda . . . . . . . . . . . . . . . . . . . . . . . . . . 30 tobramycin-dexamethasone . . . . . . . . 34temazepam . . . . . . . . . . . . . . . . . . . . . 37SYMAX DUOTAB . . . . . . . . . . . . . . . . . 27 TOBREX OPHTHALMIC TEMIXYS . . . . . . . . . . . . . . . . . . . . . . . 15SYMAX-SL . . . . . . . . . . . . . . . . . . . . . . 27 OINTMENT . . . . . . . . . . . . . . . . . . . . . . 34TEMOVATE . . . . . . . . . . . . . . . . . . . . . . 22SYMAX-SR . . . . . . . . . . . . . . . . . . . . . . 27 TOBREX OPHTHALMIC tenofovir disoproxil fumarate . . . . . . . 15 SOLUTION . . . . . . . . . . . . . . . . . . . . . . 34SYMBICORT . . . . . . . . . . . . . . . . . . . . 36TENORETIC 100 . . . . . . . . . . . . . . . . . 18 TOPAMAX . . . . . . . . . . . . . . . . . . . . . . 12SYMFI . . . . . . . . . . . . . . . . . . . . . . . . . . 15TENORETIC 50 . . . . . . . . . . . . . . . . . . 18 TOPAMAX SPRINKLE . . . . . . . . . . . . . 12SYMFI LO . . . . . . . . . . . . . . . . . . . . . . . 15TENORMIN . . . . . . . . . . . . . . . . . . . . . 18 topiramate er . . . . . . . . . . . . . . . . . . . . 12SYMJEPI . . . . . . . . . . . . . . . . . . . . . . . . 35terazosin hcl . . . . . . . . . . . . . . . . . . . . . 27 topiramate oral . . . . . . . . . . . . . . . . . . . 12SYMLINPEN 120 . . . . . . . . . . . . . . . . . 25terbinafine hcl oral . . . . . . . . . . . . . . . . 13 TOPROL XL . . . . . . . . . . . . . . . . . . . . . 18SYMLINPEN 60 . . . . . . . . . . . . . . . . . . 25terconazole . . . . . . . . . . . . . . . . . . . . . 13 torsemide . . . . . . . . . . . . . . . . . . . . . . . 18SYMPROIC . . . . . . . . . . . . . . . . . . . . . . 27TERIPARATIDE (RECOMBINANT). . . 33 TOUJEO MAX SOLOSTAR . . . . . . . . . 24SYNALAR . . . . . . . . . . . . . . . . . . . . . . . 22TESSALON PERLES . . . . . . . . . . . . . . 35 TOUJEO SOLOSTAR . . . . . . . . . . . . . 24SYNJARDY . . . . . . . . . . . . . . . . . . . . . . 25TESTIM . . . . . . . . . . . . . . . . . . . . . . . . . 31 TOVIAZ . . . . . . . . . . . . . . . . . . . . . . . . . 27SYNJARDY XR . . . . . . . . . . . . . . . . . . . 25testosterone cypionate TRACLEER 32 MG . . . . . . . . . . . . . . . 37SYNTHROID . . . . . . . . . . . . . . . . . . . . . 32 intramuscular . . . . . . . . . . . . . . . . . . . . 31 TRACLEER 62.5 MG, 125 MG . . . . . . 37SYPRINE. . . . . . . . . . . . . . . . . . . . . . . . 27 testosterone transdermal . . . . . . . . . . 31 TRADJENTA . . . . . . . . . . . . . . . . . . . . . 25TEXACORT . . . . . . . . . . . . . . . . . . . . . 22 tramadol hcl er (biphasic) . . . . . . . . . . . 9T THYQUIDITY . . . . . . . . . . . . . . . . . . . . 32 TRAMADOL HCL ER ORAL TIGLUTIK . . . . . . . . . . . . . . . . . . . . . . . 20 CAPSULE EXTENDED RELEASE TACLONEX . . . . . . . . . . . . . . . . . . . . . . 22

24 HOUR . . . . . . . . . . . . . . . . . . . . . . . . 9tacrolimus oral . . . . . . . . . . . . . . . . . . . 33

51

tramadol hcl er oral tablet extended TRIDESILON . . . . . . . . . . . . . . . . . . . . 23 vandazole . . . . . . . . . . . . . . . . . . . . . . . 11release 24 hour . . . . . . . . . . . . . . . . . . . 9 trientine hcl. . . . . . . . . . . . . . . . . . . . . . 27 VANOS . . . . . . . . . . . . . . . . . . . . . . . . . 23tramadol hcl oral tablet 100 mg . . . . . . 9 TRIJARDY XR . . . . . . . . . . . . . . . . . . . 25 VASCEPA . . . . . . . . . . . . . . . . . . . . . . . 18tramadol hcl oral tablet 50 mg . . . . . . . 9 TRILEPTAL . . . . . . . . . . . . . . . . . . . . . . 12 VASOTEC . . . . . . . . . . . . . . . . . . . . . . . 18TRANSDERM SCOP (1.5 MG) . . . . . . 13 TRINTELLIX . . . . . . . . . . . . . . . . . . . . . 13 VECTICAL . . . . . . . . . . . . . . . . . . . . . . 23TRANSDERM-SCOP (1.5 MG) . . . . . . 13 TRIUMEQ . . . . . . . . . . . . . . . . . . . . . . . 16 VELPHORO . . . . . . . . . . . . . . . . . . . . . 27TRAVATAN Z . . . . . . . . . . . . . . . . . . . . 35 TROKENDI XR . . . . . . . . . . . . . . . . . . . 12 VELTASSA . . . . . . . . . . . . . . . . . . . . . . 26travoprost (bak free) . . . . . . . . . . . . . . 35 TRULANCE . . . . . . . . . . . . . . . . . . . . . 27 VEMLIDY . . . . . . . . . . . . . . . . . . . . . . . 16trazodone hcl oral . . . . . . . . . . . . . . . . 13 TRULICITY . . . . . . . . . . . . . . . . . . . . . . 25 venlafaxine hcl . . . . . . . . . . . . . . . . . . . 13TRELEGY ELLIPTA . . . . . . . . . . . . . . . 36 TRUVADA ORAL TABLET venlafaxine hcl er oral capsule TREMFYA . . . . . . . . . . . . . . . . . . . . . . . 33 100-150 MG, 133-200 MG, extended release 24 hour . . . . . . . . . . 13

167-250 MG . . . . . . . . . . . . . . . . . . . . . 16TRESIBA . . . . . . . . . . . . . . . . . . . . . . . . 24 venlafaxine hcl er oral tablet TRUVADA ORAL TABLET extended release 24 hour . . . . . . . . . . 13TRESIBA FLEXTOUCH . . . . . . . . . . . . 24200-300 MG . . . . . . . . . . . . . . . . . . . . . 16 VENTOLIN HFA . . . . . . . . . . . . . . . . . . 36tretinoin external cream . . . . . . . . . . . 22tulana . . . . . . . . . . . . . . . . . . . . . . . . . . 30 verapamil hcl er oral capsule tretinoin external gel 0.01 % . . . . . . . . 22TUSSICAPS . . . . . . . . . . . . . . . . . . . . . 35 extended release 24 hour 100 mg, tretinoin external gel 0.05 % . . . . . . . . 22 200 mg, 300 mg . . . . . . . . . . . . . . . . . 18tyblume . . . . . . . . . . . . . . . . . . . . . . . . . 30tretinoin gel 0.025 % external . . . . . . . 22 verapamil hcl er oral capsule tydemy . . . . . . . . . . . . . . . . . . . . . . . . . 30TREXALL . . . . . . . . . . . . . . . . . . . . . . . 33 extended release 24 hour 120 mg, TYMLOS . . . . . . . . . . . . . . . . . . . . . . . . 33TREZIX . . . . . . . . . . . . . . . . . . . . . . . . . . 9 180 mg, 240 mg, 360 mg . . . . . . . . . . 18TYVASO . . . . . . . . . . . . . . . . . . . . . . . . 37tri femynor . . . . . . . . . . . . . . . . . . . . . . 30 verapamil hcl er oral tablet TYVASO REFILL . . . . . . . . . . . . . . . . . 37 extended release . . . . . . . . . . . . . . . . . 18tri-estarylla . . . . . . . . . . . . . . . . . . . . . . 30TYVASO STARTER . . . . . . . . . . . . . . . 37 verapamil hcl oral . . . . . . . . . . . . . . . . 18tri-linyah . . . . . . . . . . . . . . . . . . . . . . . . 30

VERDESO . . . . . . . . . . . . . . . . . . . . . . . 23tri-lo-estarylla . . . . . . . . . . . . . . . . . . . . 30VERELAN . . . . . . . . . . . . . . . . . . . . . . . 18Utri-lo-marzia . . . . . . . . . . . . . . . . . . . . . 30VERELAN PM . . . . . . . . . . . . . . . . . . . 18tri-lo-mili . . . . . . . . . . . . . . . . . . . . . . . . 30 UBRELVY . . . . . . . . . . . . . . . . . . . . . . . 14VERQUVO . . . . . . . . . . . . . . . . . . . . . . 18tri-lo-sprintec . . . . . . . . . . . . . . . . . . . . 30 UCERIS ORAL . . . . . . . . . . . . . . . . . . . 33VERZENIO . . . . . . . . . . . . . . . . . . . . . . 14tri-mili . . . . . . . . . . . . . . . . . . . . . . . . . . 30 UCERIS RECTAL . . . . . . . . . . . . . . . . . 33vestura . . . . . . . . . . . . . . . . . . . . . . . . . 30tri-nymyo . . . . . . . . . . . . . . . . . . . . . . . . 30 UKONIQ . . . . . . . . . . . . . . . . . . . . . . . . 14VIAGRA . . . . . . . . . . . . . . . . . . . . . . . . 25tri-previfem . . . . . . . . . . . . . . . . . . . . . . 30 ULORIC . . . . . . . . . . . . . . . . . . . . . . . . 13VIBERZI . . . . . . . . . . . . . . . . . . . . . . . . 27tri-sprintec . . . . . . . . . . . . . . . . . . . . . . 30 ULTRAM . . . . . . . . . . . . . . . . . . . . . . . . . 9VIBRAMYCIN ORAL CAPSULE . . . . . 11tri-vylibra . . . . . . . . . . . . . . . . . . . . . . . . 30 unithroid . . . . . . . . . . . . . . . . . . . . . . . . 32VIBRAMYCIN ORAL SUSPENSION tri-vylibra lo . . . . . . . . . . . . . . . . . . . . . . 30 UROCIT-K 10 . . . . . . . . . . . . . . . . . . . . 26 RECONSTITUTED . . . . . . . . . . . . . . . . 11triamcinolone acetonide external UROCIT-K 15 . . . . . . . . . . . . . . . . . . . . 26 VICTOZA SOLUTION PEN-aerosol solution . . . . . . . . . . . . . . . . . . 22

UROCIT-K 5 . . . . . . . . . . . . . . . . . . . . . 26 INJECTOR 18 MG/3ML triamcinolone acetonide external SUBCUTANEOUS . . . . . . . . . . . . . . . . 25UROXATRAL . . . . . . . . . . . . . . . . . . . . 27cream 0.025 %, 0.1 % . . . . . . . . . . . . . 22vienva . . . . . . . . . . . . . . . . . . . . . . . . . . 30URSO 250 . . . . . . . . . . . . . . . . . . . . . . 27triamcinolone acetonide external VIGAMOX . . . . . . . . . . . . . . . . . . . . . . . 34URSO FORTE . . . . . . . . . . . . . . . . . . . 27cream 0.5 % . . . . . . . . . . . . . . . . . . . . . 22VIIBRYD . . . . . . . . . . . . . . . . . . . . . . . . 13ursodiol oral . . . . . . . . . . . . . . . . . . . . . 27triamcinolone acetonide external VIIBRYD STARTER PACK . . . . . . . . . . 13lotion . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

triamcinolone acetonide external VIMPAT ORAL SOLUTION . . . . . . . . . 12Vointment 0.025 %, 0.1 %, 0.5 % . . . . . 22 VIMPAT ORAL TABLET. . . . . . . . . . . . 12triamcinolone acetonide external VAGIFEM . . . . . . . . . . . . . . . . . . . . . . . 30 VIOKACE ORAL TABLET 20880-ointment 0.05 % . . . . . . . . . . . . . . . . . . 22 78300 UNIT . . . . . . . . . . . . . . . . . . . . . 27valacyclovir hcl oral . . . . . . . . . . . . . . . 16triamterene-hctz . . . . . . . . . . . . . . . . . 18 viorele . . . . . . . . . . . . . . . . . . . . . . . . . . 30VALIUM . . . . . . . . . . . . . . . . . . . . . . . . . 16TRIANEX . . . . . . . . . . . . . . . . . . . . . . . 22 VIREAD ORAL POWDER . . . . . . . . . . 16valsartan . . . . . . . . . . . . . . . . . . . . . . . . 18triazolam . . . . . . . . . . . . . . . . . . . . . . . . 16 VIREAD ORAL TABLET 150 MG, valsartan-hydrochlorothiazide . . . . . . 18TRICOR . . . . . . . . . . . . . . . . . . . . . . . . 18 200 MG, 250 MG . . . . . . . . . . . . . . . . . 16VALTOCO . . . . . . . . . . . . . . . . . . . . . . . 12triderm external cream 0.1 % . . . . . . . 22 VIREAD ORAL TABLET 300 MG . . . . 16VALTREX . . . . . . . . . . . . . . . . . . . . . . . 16triderm external cream 0.5 % . . . . . . . 23 VISTARIL . . . . . . . . . . . . . . . . . . . . . . . 16VANADOM . . . . . . . . . . . . . . . . . . . . . . 37

52

vitamin d (ergocalciferol) oral XHANCE . . . . . . . . . . . . . . . . . . . . . . . . 35 ZITHROMAX ORAL . . . . . . . . . . . . . . . 11capsule 1.25 mg (50000 ut) . . . . . . . . 26 XIFAXAN . . . . . . . . . . . . . . . . . . . . . . . . 27 ZITHROMAX TRI-PAK . . . . . . . . . . . . . 11VITRAKVI . . . . . . . . . . . . . . . . . . . . . . . 14 XIIDRA . . . . . . . . . . . . . . . . . . . . . . . . . 35 ZITHROMAX Z-PAK . . . . . . . . . . . . . . . 11VIVELLE-DOT . . . . . . . . . . . . . . . . . . . . 30 XIMINO . . . . . . . . . . . . . . . . . . . . . . . . . 11 ZOCOR . . . . . . . . . . . . . . . . . . . . . . . . . 18VIVLODEX . . . . . . . . . . . . . . . . . . . . . . 10 XOFLUZA (40 MG DOSE) . . . . . . . . . . 16 ZOFRAN . . . . . . . . . . . . . . . . . . . . . . . . 13VOGELXO . . . . . . . . . . . . . . . . . . . . . . . 31 XOFLUZA (80 MG DOSE) . . . . . . . . . . 16 ZOHYDRO ER . . . . . . . . . . . . . . . . . . . . 9VOGELXO PUMP . . . . . . . . . . . . . . . . . 31 XOLEGEL . . . . . . . . . . . . . . . . . . . . . . . 13 ZOLMITRIPTAN NASAL . . . . . . . . . . . 14volnea . . . . . . . . . . . . . . . . . . . . . . . . . . 30 XOPENEX HFA . . . . . . . . . . . . . . . . . . . 36 zolmitriptan oral tablet . . . . . . . . . . . . 14VOSEVI . . . . . . . . . . . . . . . . . . . . . . . . . 16 XTAMPZA ER . . . . . . . . . . . . . . . . . . . . . 9 zolmitriptan oral tablet dispersible . . 14VRAYLAR . . . . . . . . . . . . . . . . . . . . . . . 15 xulane . . . . . . . . . . . . . . . . . . . . . . . . . . 30 ZOLOFT . . . . . . . . . . . . . . . . . . . . . . . . 13VTOL LQ . . . . . . . . . . . . . . . . . . . . . . . . . 9 XYREM . . . . . . . . . . . . . . . . . . . . . . . . . 37 zolpidem tartrate er . . . . . . . . . . . . . . . 37vyfemla . . . . . . . . . . . . . . . . . . . . . . . . . 30 XYWAV . . . . . . . . . . . . . . . . . . . . . . . . . 37 zolpidem tartrate oral . . . . . . . . . . . . . 37VYLEESI . . . . . . . . . . . . . . . . . . . . . . . . 25 zolpidem tartrate sublingual . . . . . . . . 37vylibra . . . . . . . . . . . . . . . . . . . . . . . . . . 30 ZOLPIMIST . . . . . . . . . . . . . . . . . . . . . . 37YVYTORIN . . . . . . . . . . . . . . . . . . . . . . . 18 ZOMACTON . . . . . . . . . . . . . . . . . . . . . 31

YASMIN 28 . . . . . . . . . . . . . . . . . . . . . . 30VYVANSE . . . . . . . . . . . . . . . . . . . . . . . 19 ZOMACTON (FOR ZOMA-JET 10) . . . 31YAZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30VYZULTA . . . . . . . . . . . . . . . . . . . . . . . 35 ZOMIG NASAL SOLUTION 2.5 MG . . 14YUPELRI . . . . . . . . . . . . . . . . . . . . . . . . 36 ZOMIG NASAL SOLUTION 5 MG . . . 14yuvafem . . . . . . . . . . . . . . . . . . . . . . . . 30 ZOMIG ORAL . . . . . . . . . . . . . . . . . . . . 14W

ZOMIG ZMT . . . . . . . . . . . . . . . . . . . . . 14WAKIX . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Z ZONEGRAN . . . . . . . . . . . . . . . . . . . . . 12warfarin sodium oral . . . . . . . . . . . . . . 11

zonisamide oral . . . . . . . . . . . . . . . . . . 12zafemy . . . . . . . . . . . . . . . . . . . . . . . . . 31WELCHOL . . . . . . . . . . . . . . . . . . . . . . 18ZONTIVITY . . . . . . . . . . . . . . . . . . . . . . 15ZANAFLEX . . . . . . . . . . . . . . . . . . . . . . 37WELLBUTRIN SR . . . . . . . . . . . . . . . . 13ZOVIRAX ORAL . . . . . . . . . . . . . . . . . . 16zarah . . . . . . . . . . . . . . . . . . . . . . . . . . . 31WELLBUTRIN XL . . . . . . . . . . . . . . . . . 13ZTLIDO . . . . . . . . . . . . . . . . . . . . . . . . . . 9ZARXIO . . . . . . . . . . . . . . . . . . . . . . . . 25wera . . . . . . . . . . . . . . . . . . . . . . . . . . . 30ZUBSOLV . . . . . . . . . . . . . . . . . . . . . . . 10ZCORT 7-DAY . . . . . . . . . . . . . . . . . . . 31WESTHROID . . . . . . . . . . . . . . . . . . . . 32zumandimine . . . . . . . . . . . . . . . . . . . . 31ZEBUTAL . . . . . . . . . . . . . . . . . . . . . . . . 9wixela inhub . . . . . . . . . . . . . . . . . . . . . 36ZUPLENZ . . . . . . . . . . . . . . . . . . . . . . . 13ZEJULA . . . . . . . . . . . . . . . . . . . . . . . . 14WP THYROID . . . . . . . . . . . . . . . . . . . . 32ZYCLARA . . . . . . . . . . . . . . . . . . . . . . . 23ZELNORM . . . . . . . . . . . . . . . . . . . . . . 27WYNZORA . . . . . . . . . . . . . . . . . . . . . . 23ZYCLARA PUMP . . . . . . . . . . . . . . . . . 23ZEMBRACE SYMTOUCH . . . . . . . . . . 14ZYLET . . . . . . . . . . . . . . . . . . . . . . . . . . 34zenatane . . . . . . . . . . . . . . . . . . . . . . . . 23X ZYLOPRIM . . . . . . . . . . . . . . . . . . . . . . 13ZENPEP . . . . . . . . . . . . . . . . . . . . . . . . 27ZYPREXA ORAL . . . . . . . . . . . . . . . . . 15XALATAN . . . . . . . . . . . . . . . . . . . . . . . 35 ZENZEDI . . . . . . . . . . . . . . . . . . . . . . . . 19ZYPREXA ZYDIS . . . . . . . . . . . . . . . . . 15XANAX . . . . . . . . . . . . . . . . . . . . . . . . . 16 ZEPATIER . . . . . . . . . . . . . . . . . . . . . . . 16

XANAX XR . . . . . . . . . . . . . . . . . . . . . . 16 ZEPOSIA . . . . . . . . . . . . . . . . . . . . . . . 20XARELTO . . . . . . . . . . . . . . . . . . . . . . . 11 ZEPOSIA 7-DAY STARTER PACK . . . 20XARELTO STARTER PACK. . . . . . . . . 11 ZEPOSIA STARTER KIT . . . . . . . . . . . 20XCOPRI ORAL TABLET 100 MG, ZESTORETIC . . . . . . . . . . . . . . . . . . . . 18150 MG, 200 MG, 50 MG . . . . . . . . . . 12 ZESTRIL . . . . . . . . . . . . . . . . . . . . . . . . 18XCOPRI ORAL TABLET THERAPY ZETIA . . . . . . . . . . . . . . . . . . . . . . . . . . 18PACK 14 X 12.5 MG & 14 X 25 MG,

ZETONNA. . . . . . . . . . . . . . . . . . . . . . . 3514 X 150 MG & 14 X200 MG, 14 X 50 MG & 14 X100 MG, 150 & 200 ZIAC ORAL TABLET 10-6.25 MG, MG, 50 & 200 MG . . . . . . . . . . . . . . . . 12 2.5-6.25 MG . . . . . . . . . . . . . . . . . . . . . 18XELJANZ . . . . . . . . . . . . . . . . . . . . . . . 33 ZIAC ORAL TABLET 5-6.25 MG . . . . 18XELJANZ XR . . . . . . . . . . . . . . . . . . . . 33 ZIEXTENZO . . . . . . . . . . . . . . . . . . . . . 25XELODA . . . . . . . . . . . . . . . . . . . . . . . . 14 ZILXI . . . . . . . . . . . . . . . . . . . . . . . . . . . 23XELPROS . . . . . . . . . . . . . . . . . . . . . . . 35 ZIOPTAN . . . . . . . . . . . . . . . . . . . . . . . 35XENLETA ORAL . . . . . . . . . . . . . . . . . 11 ziprasidone hcl. . . . . . . . . . . . . . . . . . . 15XEPI . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ZIPSOR . . . . . . . . . . . . . . . . . . . . . . . . . 10

53

Nondiscrimination notice and access to communication services

®UnitedHealthcare and its subsidiaries do not discriminate on the basis of race, color, national origin, age, disability or sex in their health programs or activities.

If you think you were treated unfairly because of your sex, age, race, color, disability or national origin, you can send a complaint to the Civil Rights Coordinator.

Online: [email protected]

Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UT 84130

You must send the complaint within 60 days of your experience. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

You can also file a complaint with the U.S. Dept. of Health and Human Services.

Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD)

Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

We provide free services to help you communicate with us, including letters in other languages or large print. Or, you can ask for an interpreter. To ask for help, please call the toll-free phone number listed on your health plan ID card, TTY 711, Monday through Friday, 8 a.m. to 8 p.m., or at the times listed in your health plan documents.

54

請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請撥打會員卡所列的免付費會員電話號碼。

XIN LƯU Ý: Nếu quý vị nói tiếng Việt (Vietnamese), quý vị sẽ được cung cấp dịch vụ trợ giúp về ngôn ngữ miễn phí. Vui lòng gọi số điện thoại miễn phí ở mặt sau thẻ hội viên của quý vị.

ATANSYON: Si w pale Kreyòl ayisyen (Haitian Creole), ou kapab benefisye sèvis ki gratis pou ede w nan lang pa w. Tanpri rele nimewo gratis ki sou kat idantifikasyon w.

توجه: ا�ر �بان �ما فارسی (Farsi) است، خدمات امداد �بان� به �ور راي�ان در اختيار �ما م� با�د. ل��ا با �مار� تل�ن راي�ان� �ه رو� �ارت �ناساي� �ما قيد �د� تما� ب�يريد.

ध्यान दें: यदि आप हिंदी (Hindi) बोलते है, आपको भाषा सहायता सेबाए,ं नि:शुल्क उपलब्ध हैं। कृपया अपने पहचान पत्र पर सूचीबद्ध टोल-फ्री फोन नंबर पर कॉल करें।

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

ចំណាប់អារម្មណ៍ៈ បើសិនអ្នកនិយាយភាសាខ្មែរ(Khmer)សេវាជំនួយភាសាដោយឥតគិតថ្លៃ គឺមានសំរាប់អ្នក។ សូមទូរស័ព្ទទៅលេខឥតគិតថ្លៃ ដែលមាននៅលើអត្ដសញ្ញាណប័ណ្ណរបស់អ្នក។

PAKDAAR: Nu saritaem ti Ilocano (Ilocano), ti serbisyo para ti baddang ti lengguahe nga awanan bayadna, ket sidadaan para kenyam. Maidawat nga awagan iti toll-free a numero ti telepono nga nakalista ayan iti identification card mo.

DÍÍ BAA’ÁKONÍNÍZIN: Diné (Navajo) bi]aad bee yini�ti�go, saad bee ika�anída�awo�ígíí, t�ii jíík�eh, bee ni�ahóót�i�. 7�ii sh��dí ninaaltsoos nit��i]í bee néého]inígíí bine�d�� t�ii jíík�ehgo béésh bee hane�í biki�ígíí �bee hodíilnih.

OGOW: Haddii aad ku hadasho Soomaali (Somali), adeegyada taageerada luqadda, oo bilaash ah, ayaad heli kartaa. Fadlan wac lambarka telefonka khadka bilaashka ee ku yaalla kaarkaaga aqoonsiga.

55

Multi-language interpreter servicesMulti-language interpreter services

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Please call the toll-free phone number listed on your identification card.

ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación.

알림: 한국어(Korean)를 사용하시는 경우 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 신분증 카드에 기재된 무료 회원 전화번호로 문의하십시오.

PAALALA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

ВНИМАНИЕ: бесплатные услуги перевода доступны для людей, чей родной язык является русском (Russian). Позвоните по бесплатному номеру телефона, указанному на вашей идентификационной карте.

تنبيه: إذا كنت تتحدث العربية (Arabic)، فإن خدمات المساعدة اللغوية المجانية متاحة لك. الرجاء الاتصال على رقم الهاتف المجاني الموجود على ّ معرف العضوية.

ATTENTION : Si vous parlez français (French), des services d’aide linguistique vous sont proposés gratuitement. Veuille] appeler le numéro de téléphone gratuit figurant sur votre carte d�identification.

U:$*$: -e�eli mówis] po polsku (Polish), udost�pnili�my darmowe us�ugi t�umac]a. Prosimy ]ad]woni� pod be]p�atny numer telefonu podany na karcie identyfikacyjnej.

$7(Nd�2: 6e você fala português (Portuguese), contate o servioo de assistência de idiomas gratuito. Ligue gratuitamente para o número encontrado no seu cartmo de identificaomo.

ATTENZIONE: in caso la lingua parlata sia l’italiano (Italian), sono disponibili servizi di assistenza linguistica gratuiti. Per favore chiamate il numero di telefono verde indicato sulla vostra tessera identificativa.

ACHTUNG: Falls Sie Deutsch (German) sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Bitte rufen Sie die gebührenfreie Rufnummer auf der Rückseite Ihres Mitgliedsausweises an.

注意事項：日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけます。健康保険証に記載されているフリーダイヤルにお電話ください。

Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates and Stop-loss insurance is underwritten by All Savers Insurance Company (except CA, MA, MN, NJ and NY), UnitedHealthcare Insurance Company in MA and MN, UnitedHealthcare Life Insurance Company in NJ, UnitedHealthcare Insurance Company of New York in NY, and All Savers Life Insurance Company of California in CA. Administrative services provided by UnitedHealthcare Insurance Company, UnitedHealthcare Services, Inc., Oxford Health Plans LLC or their affiliates, and UnitedHealthcare Service LLC in NY. Health Plan coverage provided by or through a UnitedHealthcare company.UnitedHealthcare® is a registered trademark owned by UnitedHealth Group Incorporated. All other trademarks are the property of their respective owners.

8/21 ©2022 United HealthCare Services, Inc. All Rights Reserved. WF4914163-E 2022 Prescription Drug List — Essential 4-Tier

Documents

Your 2022 Prescription Drug List